Individual
NICOLE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 COLORADO AVE, FRANKFORT, IL 60423-1333
(815) 464-4142
Mailing address
201 COLORADO AVE, FRANKFORT, IL 60423-1333
(815) 464-4142
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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