NATHAN R PORTER

IDAHO FALLS, ID
NPI1003952912
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW-27844)
Enumeration Date2007-01-29
Last Update Date2016-06-30
Business Address
MR. NATHAN R PORTER LCSW
100 N WOODRUFF AVE
IDAHO FALLS, ID 83401-4335
Phone number: 208-346-2363
Mailing Address
MR. NATHAN R PORTER LCSW
100 N WOODRUFF AVE
IDAHO FALLS, ID 83401-4335
Phone number: 208-386-2363
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