Individual
SHELIA RENE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6807 W CARTER RD, LAVEEN, AZ 85339-7051
(602) 758-1536
Mailing address
4449 N 12TH ST, PHOENIX, AZ 85014-4520
(602) 279-1427
(602) 279-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6662611
AZ
Other
Enumeration date
02/27/2015
Last updated
01/12/2026
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