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1316240658
MICHAEL PORTER
BEVERLY, MA
NPI
1316240658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 114868)
Enumeration Date
2010-12-08
Last Update Date
2010-12-08
Business Address
Mr. MICHAEL PORTER LICSW
900 CUMMINGS CTR STE 416T
BEVERLY, MA 01915-6184
Phone number: 978-578-5298
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Mailing Address
Mr. MICHAEL PORTER LICSW
900 CUMMINGS CTR STE 416T
BEVERLY, MA 01915-6184
Phone number: 978-578-5298
Copy
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