Individual
COURTNEY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
703 CALVIN AVERY DR, WEST MEMPHIS, AR 72301-6501
(870) 732-1878
(870) 702-7111
Mailing address
703 CALVIN AVERY DR, WEST MEMPHIS, AR 72301-6501
(870) 732-1878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7312-C
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/08/2014
Last updated
03/17/2018
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