Individual
ARLENE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1705 COLLEGE AVE, CARMI, IL 62821-2258
(618) 382-7311
Mailing address
1412 US HIGHWAY 45 N, ELDORADO, IL 62930-3766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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