Individual
EDWARD PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
, LMSW-P
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107
(405) 858-1700
Mailing address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
06/12/2018
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