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1306350624
COURTNEY NICOLE PORTER
GRAND RAPIDS, MI
NPI
1306350624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6802088066)
Enumeration Date
2017-11-22
Last Update Date
2017-11-22
Business Address
COURTNEY NICOLE PORTER
1979 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Phone number: 616-247-3815
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Mailing Address
COURTNEY NICOLE PORTER
1979 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Phone number: 616-247-3815
Copy
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