SUSAN RENEE PORTER

SAINT LOUIS, MO
NPI1063628519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  003581)
Enumeration Date2007-05-14
Last Update Date2007-07-09
Business Address
-- SUSAN RENEE PORTER M.S.W., L.C.S.W.
4231 SHENANDOAH AVE
SAINT LOUIS, MO 63110-3512
Phone number: 314-517-5644
Mailing Address
-- SUSAN RENEE PORTER M.S.W., L.C.S.W.
4231 SHENANDOAH AVE
SAINT LOUIS, MO 63110-3512
Phone number: 314-517-5644
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