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1821379231
DORA LAVERNE PORTER
ONTARIO, CA
NPI
1821379231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-30
Last Update Date
2023-02-10
Business Address
DORA LAVERNE PORTER
1647 E HOLT BLVD
ONTARIO, CA 91761-2107
Phone number: 909-458-9628
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Mailing Address
DORA LAVERNE PORTER
PO BOX 12153
SAN BERNARDINO, CA 92423-2153
Phone number: 909-641-9536
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