JACOB PORTER

MINNEAPOLIS, MN
NPI1326792946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  28211)
Enumeration Date2022-02-11
Last Update Date2022-02-11
Business Address
JACOB PORTER LICSW
2312 S 6TH ST
MINNEAPOLIS, MN 55454-1336
Phone number: 612-672-6999
Mailing Address
JACOB PORTER LICSW
2641 34TH AVE S
MINNEAPOLIS, MN 55406-1735
Phone number: 319-415-5464
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