Individual
ANGELIQUE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
967 E SWEDESFORD RD STE 100, EXTON, PA 19341-2332
(610) 790-3442
Mailing address
1333 DARBY RD APT 411, HAVERTOWN, PA 19083-3834
(484) 832-0147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133653
PA
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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