Individual
DEBORAH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 W SOUTH 3RD ST, SHELBYVILLE, IL 62565-9595
(217) 774-2113
Mailing address
1810 W SOUTH 3RD ST, SHELBYVILLE, IL 62565-9595
(217) 774-2113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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