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1518794981
BRYAN PORTER
DETROIT, MI
NPI
1518794981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
BRYAN PORTER
24424 W MCNICHOLS RD
DETROIT, MI 48219-3653
Phone number: 313-531-2500
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Mailing Address
BRYAN PORTER
6825 HIPP ST
TAYLOR, MI 48180-1998
Phone number:
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