| NPI | 1548679517 |
|---|---|
| Professional Name | KELLEY PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC16215) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC14851) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2019-10-21 |