CHAD MICHAEL PORTER

BOISE, ID
NPI1649590308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW33747)
Enumeration Date2010-06-04
Last Update Date2015-03-03
Business Address
-- CHAD MICHAEL PORTER LCSW
8100 W EMERALD ST SUITE 150
BOISE, ID 83704-9055
Phone number: 208-375-0752
Mailing Address
-- CHAD MICHAEL PORTER LCSW
8100 W EMERALD ST SUITE 150
BOISE, ID 83704-9055
Phone number: 208-375-0752
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