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1235316571
CORLISS E. PORTER
THOUSAND OAKS, CA
NPI
1235316571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT 11926)
Enumeration Date
2008-01-29
Last Update Date
2020-12-30
Business Address
CORLISS E. PORTER MFT
501 MARIN ST STE 202
THOUSAND OAKS, CA 91360-4266
Phone number: 805-702-5420
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Mailing Address
CORLISS E. PORTER MFT
PO BOX 3503
SANTA BARBARA, CA 93130-3503
Phone number: 805-451-9419
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