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1386929057
LISA G PORTER
GRAYSON, KY
NPI
1386929057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KY 252292)
Enumeration Date
2011-10-13
Last Update Date
2023-09-14
Business Address
LISA G PORTER LCSW
645 INTERSTATE DR
GRAYSON, KY 41143-1704
Phone number: 606-474-0669
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Mailing Address
LISA G PORTER LCSW
2901 PIGEON ROOST RD
RUSH, KY 41168-8132
Phone number: 606-928-6648
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