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Individual

BREE PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 DUNLAWTON AVE STE 5E, PORT ORANGE, FL 32127-8952
(321) 270-7917
Mailing address
832 LITTLE TOWN RD, PORT ORANGE, FL 32127-9231

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH21844
FL

Other

Enumeration date
10/04/2023
Last updated
10/04/2023
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