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Individual

SHERVETTA RENEE PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
3685
TN
101YP2500X
Professional Counselor
Primary
3685
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q027516
TN
Enumeration date
10/19/2006
Last updated
09/03/2019
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