Individual
ALICIA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5931
(561) 616-8411
Mailing address
PO BOX 542321, LAKE WORTH, FL 33454-2321
(561) 846-9712
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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