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1699338400
ELIZABETH ANNE PORTER
SAN MATEO, CA
NPI
1699338400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 28459)
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
ELIZABETH ANNE PORTER MA CCC SLP
1720 S AMPHLETT BLVD STE 110
SAN MATEO, CA 94402-2710
Phone number: 650-931-6300
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Mailing Address
ELIZABETH ANNE PORTER MA CCC SLP
2050 ASHRIDGE WAY
GRANITE BAY, CA 95746-7211
Phone number: 916-770-5585
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