Individual
JULIE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6672 NEWARK RD, IMLAY CITY, MI 48444-9657
(810) 724-0591
(810) 724-0272
Mailing address
6672 NEWARK RD, IMLAY CITY, MI 48444-9657
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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