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1215987136
CONNIE PORTER-RICHARD
ROCKLEDGE, FL
NPI
1215987136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH3802)
Enumeration Date
2006-05-11
Last Update Date
2008-03-24
Business Address
Dr. CONNIE PORTER-RICHARD LMHC
845 EXECUTIVE LN SUITE 100
ROCKLEDGE, FL 32955-3528
Phone number: 321-631-5538
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Mailing Address
Dr. CONNIE PORTER-RICHARD LMHC
PO BOX 560875
ROCKLEDGE, FL 32956-0875
Phone number: 321-631-5538
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