Individual
MICHAEL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
238 1ST AVE NE, HAZEN, ND 58545-4301
(701) 748-6383
Mailing address
238 1ST AVE NE, HAZEN, ND 58545-4301
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
ND
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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