CHAD MICHAEL PORTER

IDAHO FALLS, ID
NPI1649590308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW33747)
Enumeration Date2010-06-04
Last Update Date2025-01-17
Business Address
CHAD MICHAEL PORTER LCSW
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402-3405
Phone number: 208-552-0855
Mailing Address
CHAD MICHAEL PORTER LCSW
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402-3405
Phone number: 208-552-0855
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