Individual
MS. JULIE ANN PORATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10530 BAY VIEW LN, WOODBURY, MN 55129-9271
(612) 875-2400
(651) 220-6393
Mailing address
10530 BAY VIEW LN, WOODBURY, MN 55129-9271
(612) 875-2400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15811
MN
Other
Enumeration date
06/12/2011
Last updated
02/22/2024
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