| NPI | 1417335365 |
|---|---|
| Doing Business As | TAMAR J PORT |
| Entity Type | Organization |
| Authorized Contact | TAMAR JUDITH PORT Licensed Clinical Social Worker 215-530-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW000153L) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |