JEFFERY PORTER

BURLEY, ID
NPI1568823060
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-37640)
Enumeration Date2016-03-10
Last Update Date2025-01-16
Business Address
Mr. JEFFERY PORTER
1309 BENNETT AVE
BURLEY, ID 83318-2676
Phone number: 208-678-7796
Mailing Address
Mr. JEFFERY PORTER
2350 OAKLEY AVE
BURLEY, ID 83318-2924
Phone number: 208-831-6631
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