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1225758329
LISA YVETTE PORTER
GAUTIER, MS
NPI
1225758329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
LISA YVETTE PORTER
3407 SHAMROCK CT
GAUTIER, MS 39553-5337
Phone number: 228-497-0690
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Mailing Address
LISA YVETTE PORTER
3407 SHAMROCK CT
GAUTIER, MS 39553-5337
Phone number: 228-497-0690
Copy
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