Individual
MS. GINA BOOTH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,PIP
Contact information
Practice address
2701 WOODVIEW DR SE, HUNTSVILLE, AL 35801-2830
(256) 998-0879
Mailing address
2701 WOODVIEW DR SE, HUNTSVILLE, AL 35801-2830
(256) 998-0879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
108195
TX
1041C0700X
Clinical Social Worker
Primary
2178C
AL
1041C0700X
Clinical Social Worker
7355
TN
Other
Enumeration date
06/11/2009
Last updated
07/10/2026
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