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1376720144
JENNIFER M. PORTER
FORT WALTON BEACH, FL
NPI
1376720144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA-9011)
Enumeration Date
2008-01-23
Last Update Date
2008-01-23
Business Address
-- JENNIFER M. PORTER MS, CCC-SLP
133A STAFF DR NE
FORT WALTON BEACH, FL 32548-5050
Phone number: 850-664-7799
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Mailing Address
-- JENNIFER M. PORTER MS, CCC-SLP
133A STAFF DR NE
FORT WALTON BEACH, FL 32548-5050
Phone number: 850-664-7799
Copy
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