Individual
EDGINA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW-C
Contact information
Practice address
10206 AEROSPACE RD, LANHAM, MD 20706
(301) 760-8615
Mailing address
20000 SWEETGUM CIR APT 12, GERMANTOWN, MD 20874-3756
(301) 760-8615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50080928
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
927628
—
MD
Enumeration date
09/27/2016
Last updated
01/06/2023
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