DAN KENNETH PORTER

MENTOR, OH
NPI1750420113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I3749)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
Mr. DAN KENNETH PORTER LISW, LICDC
8445 MUNSON RD
MENTOR, OH 44060-2410
Phone number: 440-255-1700
Mailing Address
Mr. DAN KENNETH PORTER LISW, LICDC
9007 OLD STATE RD
CHARDON, OH 44024-9255
Phone number: 440-286-7191
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