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1164630323
PATRICIA E PORTER
LOMBARD, IL
NPI
1164630323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.005344)
Enumeration Date
2007-05-20
Last Update Date
2007-07-08
Business Address
Dr. PATRICIA E PORTER Pay.D.
55 W 22ND ST SUITE 112
LOMBARD, IL 60148-4854
Phone number: 630-424-9367
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Mailing Address
Dr. PATRICIA E PORTER Pay.D.
55 W 22ND ST SUITE 112
LOMBARD, IL 60148-4854
Phone number: 630-424-9367
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