Individual
ELIZABETH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8072 21 MILE RD, SHELBY TOWNSHIP, MI 48317-4310
(586) 932-2700
(586) 932-2705
Mailing address
8072 21 MILE RD, SHELBY TOWNSHIP, MI 48317-4310
(586) 932-2700
(586) 932-2705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010305
MI
101YS0200X
School Counselor
SC0000622
MI
Other
Enumeration date
01/02/2015
Last updated
05/28/2019
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