Individual
MS. DA SHAN MONQUIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2624 CRIX LN, FORT WORTH, TX 76140-5657
(214) 728-0268
Mailing address
2624 CRIX LN, FORT WORTH, TX 76140-5657
(214) 728-0268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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