Individual
SEYMONE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 KAKTOVIC CT, GRAYSON, GA 30017-4339
(404) 542-5565
(678) 395-5605
Mailing address
35 KAKTOVIC CT, GRAYSON, GA 30017-4339
(404) 542-5565
(678) 395-5605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002243
GA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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