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1063429587
BONITA PORTER
ASHEBORO, NC
NPI
1063429587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C001693)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- BONITA PORTER LCSW
110 W WALKER AVE
ASHEBORO, NC 27203-6760
Phone number: 336-633-7043
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Mailing Address
-- BONITA PORTER LCSW
PO BOX 9 1120 SEVEN LAKES DRIVE
WEST END, NC 27376-0009
Phone number: 910-673-9111
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