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1134331861
ANDREW PORTER
EDMOND, OK
NPI
1134331861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 3875)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-05-04
Last Update Date
2023-03-24
Business Address
Mr. ANDREW PORTER LCSW
16301 SONOMA PARK DR
EDMOND, OK 73013-2091
Phone number: 572-208-8425
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Mailing Address
Mr. ANDREW PORTER LCSW
1800 NW 122ND STREET
OKLAHOMA CITY, OK 73120-9524
Phone number:
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