JEANINE GLADYS PORTER

WILLMAR, MN
NPI1649519091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  301951)
Enumeration Date2013-02-05
Last Update Date2013-02-05
Business Address
MS. JEANINE GLADYS PORTER
328 3RD ST SW
WILLMAR, MN 56201-3475
Phone number: 320-231-9763
Mailing Address
MS. JEANINE GLADYS PORTER
328 3RD ST SW
WILLMAR, MN 56201-3475
Phone number: 320-231-9763
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