Individual
EMILY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1114 BENFIELD BLVD, MILLERSVILLE, MD 21108-2568
(410) 693-2788
Mailing address
1114 BENFIELD BLVD, MILLERSVILLE, MD 21108-2568
(410) 693-2788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20737
MD
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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