SHASHA CAROLINE PORTER

SAINT PAUL, MN
NPI1770960981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MN  686)
Enumeration Date2015-04-27
Last Update Date2015-04-27
Business Address
SHASHA CAROLINE PORTER
2265 COMO AVE # 651645
SAINT PAUL, MN 55108-1737
Phone number: 651-645-5323
Mailing Address
SHASHA CAROLINE PORTER
432 SUMMIT AVE
SAINT PAUL, MN 55102-2698
Phone number: 612-360-8541