Individual
JANICE M PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-E
Contact information
Practice address
714 MUSKOGEE AVE, NORFOLK, VA 23509-1614
(757) 353-9062
Mailing address
714 MUSKOGEE AVE, NORFOLK, VA 23509-1614
(757) 353-9062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906010565
VA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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