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1356793160
JOHNNIE B. PORTER
ATLANTA, GA
NPI
1356793160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
Additional Taxonomies
106H00000X Marriage & Family Therapist
Enumeration Date
2016-07-05
Last Update Date
2016-08-28
Business Address
-- JOHNNIE B. PORTER M. Div., M.A.C.M.
4751 BEST RD STE 400E
ATLANTA, GA 30337-5609
Phone number: 678-637-4653
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Mailing Address
-- JOHNNIE B. PORTER M. Div., M.A.C.M.
PO BOX 1986
VILLA RICA, GA 30180-6430
Phone number: 678-820-6829
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