Individual
ANGELA MARIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 METRO BLVD # 100-7, MINNEAPOLIS, MN 55439-2316
(612) 655-2700
Mailing address
234 COUNTY ROAD 6 SW, ANNANDALE, MN 55302-5100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26810
MN
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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