Individual
LEXTYN H PORTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2201 36TH AVE SW STE B, MINOT, ND 58701-7593
(701) 837-9801
(701) 483-0060
Mailing address
140 1ST ST E, DICKINSON, ND 58601-5211
(701) 300-0019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
10/08/2024
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