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1376230219
SHANNA BRIELLE PORTER
SPOKANE, WA
NPI
1376230219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW61319111)
Enumeration Date
2023-04-20
Last Update Date
2023-04-20
Business Address
SHANNA BRIELLE PORTER LICSW
598 W RAPTOR PEAK DR
SPOKANE, WA 99224-5854
Phone number: 509-981-0647
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Mailing Address
SHANNA BRIELLE PORTER LICSW
598 W RAPTOR PEAK DR
SPOKANE, WA 99224-5854
Phone number: 509-981-0647
Copy
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