Individual
KESHIA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
2112 UTICA-SELLERSBURG RD., JEFFERSONVILLE, IN 47130
(812) 288-4840
Mailing address
2112 UTICA-SELLERSBURG RD., JEFFERSONVILLE, IN 47130
(812) 288-4840
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10052252
IN
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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