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1396089389
SHONNA LEA PORTER
TACOMA, WA
NPI
1396089389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 60298915)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
Mrs. SHONNA LEA PORTER MACP
1919 N PEARL ST STE C1
TACOMA, WA 98406-2490
Phone number: 253-752-1860
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Mailing Address
Mrs. SHONNA LEA PORTER MACP
1919 N PEARL ST STE C1
TACOMA, WA 98406-2490
Phone number: 253-752-1860
Copy
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