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1285944967
MARY KATHERINE PORTER
GAUTIER, MS
NPI
1285944967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
Mrs. MARY KATHERINE PORTER M.A.
3407 SHAMROCK CT
GAUTIER, MS 39553-6429
Phone number: 228-497-0690
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Mailing Address
Mrs. MARY KATHERINE PORTER M.A.
3407 SHAMROCK CT
GAUTIER, MS 39553-6429
Phone number: 228-497-0690
Copy
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