Individual
LAURA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 N MITCHELL ST, CADILLAC, MI 49601-1833
(231) 846-4783
Mailing address
220 VICK AVE, CADILLAC, MI 49601-9241
(231) 510-4985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005736
MI
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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