Individual
CASSIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
200 PARK AVE, KEANSBURG, NJ 07734-1853
(973) 356-4897
Mailing address
200 PARK AVE, KEANSBURG, NJ 07734-1853
(973) 356-4897
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
990692
NJ
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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