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Individual

MRS. JUSTYNA K PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
BLDG 7490, SOUTHERLAND CIRCLE AND PROVIDE COMFORT RD, ROBINSON FAMILY MEDICINE CLINIC, FORT CARSON, CO 80913-8239
(910) 476-2931
Mailing address
BLDG 7490, SOUTHERLAND CIRCLE AND PROVIDE COMFORT RD, ROBINSON FAMILY MEDICINE CLINIC, FORT CARSON, CO 80913-8239
(910) 476-2931

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009974
CO

Other

Enumeration date
04/12/2016
Last updated
04/12/2016
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