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1205476074
VICTORIA PORTER
BOSSIER CITY, LA
NPI
1205476074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 6195)
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
VICTORIA PORTER LPC
1525 FULLILOVE DR
BOSSIER CITY, LA 71112-3346
Phone number: 318-747-1211
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Mailing Address
VICTORIA PORTER LPC
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2099
Phone number: 318-222-8511
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