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1770960981
SHASHA CAROLINE PORTER
SAINT PAUL, MN
NPI
1770960981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 686)
Enumeration Date
2015-04-27
Last Update Date
2015-04-27
Business Address
-- SHASHA CAROLINE PORTER
2265 COMO AVE # 651645
SAINT PAUL, MN 55108-1737
Phone number: 651-645-5323
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Mailing Address
-- SHASHA CAROLINE PORTER
432 SUMMIT AVE
SAINT PAUL, MN 55102-2698
Phone number: 612-360-8541
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