Individual
STEPHANIE JOANNE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
112 N BROAD ST, RM 821, PHILA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Mailing address
1103 ALFRED AVE, APT E, YEADON, PA 19050-3953
(610) 623-0844
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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