Individual
THERESA MARGARET PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
263 W PATRICK ST, FREDERICK, MD 21701-6910
(443) 990-1471
Mailing address
263 W PATRICK ST, FREDERICK, MD 21701-6910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
29068
MD
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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