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1245415215
AMON OLU PORTER
OAKLAND, CA
NPI
1245415215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW22480)
Enumeration Date
2008-01-08
Last Update Date
2017-01-27
Business Address
Mr. AMON OLU PORTER Ph.D., LCSW
675 HEGENBERGER ROAD #214
OAKLAND, CA 94621-1973
Phone number: 510-932-3678
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Mailing Address
Mr. AMON OLU PORTER Ph.D., LCSW
PO BOX 14306
OAKLAND, CA 94614-2306
Phone number: 510-932-3678
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