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1457718900
LISA MARIE PORTER
CHICAGO, IL
NPI
1457718900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH17564)
Enumeration Date
2016-01-27
Last Update Date
2023-10-26
Business Address
Mrs. LISA MARIE PORTER
225 N MICHIGAN AVE
CHICAGO, IL 60601
Phone number: 407-501-2994
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Mailing Address
Mrs. LISA MARIE PORTER
1121 ALICE DR APT 68
SUMTER, SC 29150-1604
Phone number:
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