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Organization

GRACE PORTER THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRACE PORTER (OWNER)
(410) 999-4366
Entity
Organization

Contact information

Practice address
104 RIDGELY AVE, SUITE 203, ANNAPOLIS, MD 21401-1439
(410) 999-4366
Mailing address
104 RIDGELY AVE, SUITE 203, ANNAPOLIS, MD 21401-1439
(410) 999-4366

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCP5763
MD

Other

Enumeration date
07/23/2014
Last updated
07/23/2014
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