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1508582552
QUANIESHA PORTER
LEAKESVILLE, MS
NPI
1508582552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
QUANIESHA PORTER IDD WAIVER SERVICES
710 OAK ST
LEAKESVILLE, MS 39451-3127
Phone number: 601-394-2887
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Mailing Address
QUANIESHA PORTER IDD WAIVER SERVICES
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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