Individual
MR. MATTHEW PORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APSW
Contact information
Practice address
1531 W 32ND ST STE 208B, JOPLIN, MO 64804-1889
(417) 499-3673
Mailing address
1531 W 32ND ST STE 208B, JOPLIN, MO 64804-1889
(414) 489-4127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017021775
MO
Other
Enumeration date
07/18/2014
Last updated
10/18/2023
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