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1497450712
JACEY L PORTER
PRATTVILLE, AL
NPI
1497450712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AL 5328)
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
JACEY L PORTER M.S., CCC-SLP
660 MCQUEEN SMITH RD N STE H
PRATTVILLE, AL 36066-7559
Phone number: 334-350-3362
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Mailing Address
JACEY L PORTER M.S., CCC-SLP
970 SUGAR LOAF HILL RD
DEATSVILLE, AL 36022-5435
Phone number: 334-207-9160
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