Individual
TRAVON D PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1817 GRAVOIS RD, HIGH RIDGE, MO 63049-2668
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2024013659
MO
Other
Enumeration date
07/13/2017
Last updated
06/05/2024
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