Individual
HAILIE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6060 DIXIE HWY STE H, CLARKSTON, MI 48346-3476
(248) 455-6619
Mailing address
334 ORCHARD ST, GRAND BLANC, MI 48439-3312
(248) 763-3523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801117894
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1335
—
MI
Enumeration date
06/03/2020
Last updated
10/10/2025
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