DERRICK ALLEN PORTER

MERRILLVILLE, IN
NPI1245517341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34006954A)
Enumeration Date2011-11-03
Last Update Date2014-04-17
Business Address
-- DERRICK ALLEN PORTER MSW
1441 E 84TH PL
MERRILLVILLE, IN 46410-6451
Phone number: 219-794-2000
Mailing Address
-- DERRICK ALLEN PORTER MSW
8400 LOUISIANA ST
MERRILLVILLE, IN 46410-6385
Phone number: 219-757-1928
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