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Individual

ALEXANDRA PORTER-MARQUES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
32 COMMON ST, WALPOLE, MA 02081-2803
(508) 668-3223
Mailing address
125 BEECH ST, FRANKLIN, MA 02038-2604

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6279
MA
101YM0800X
Mental Health Counselor
Primary
6279
MA

Other

Enumeration date
05/15/2008
Last updated
05/15/2008
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