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Individual

ERICA LYNNE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6666 S SHERIDAN RD, TULSA, OK 74133-1756
(918) 284-3674
Mailing address
PO BOX 727, HASKELL, OK 74436-0727

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/09/2021
Last updated
10/01/2023
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