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1235853755
LISA MARY PORTER
GLENDALE, CA
NPI
1235853755
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Other Name
LISE PORTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
Miss LISA MARY PORTER LMFT
1245 5TH ST APT 3
GLENDALE, CA 91201-2232
Phone number: 619-838-3888
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Mailing Address
Miss LISA MARY PORTER LMFT
3940 LAUREL CANYON BLVD # 484
STUDIO CITY, CA 91604-3709
Phone number: 619-838-3888
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