Individual
MEGAN E PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-9703
Mailing address
8770 GUION RD STE B, INDIANAPOLIS, IN 46268-3017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33010605A
IN
1041C0700X
Clinical Social Worker
Primary
34011500A
IN
Other
Enumeration date
08/18/2022
Last updated
10/16/2024
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