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Individual

DAVID PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSWA

Contact information

Practice address
318 TURNERSBURG HWY, STATESVILLE, NC 28625-2798
(704) 873-1114
Mailing address
284 EXECUTIVE PARK DR, STE 100, CONCORD, NC 28025-1894

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P010156
NC

Other

Enumeration date
03/10/2016
Last updated
03/10/2016
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