Individual
GEORGENA WILLENA PORTER-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
154 NAPIER DR, COLUMBIA, TN 38401
(931) 223-8071
Mailing address
154 NAPIER DR, COLUMBIA, TN 38401-6087
(931) 223-8071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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