LOGAN PORTER

CRESTON, IA
NPI1851775084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  077072)
Enumeration Date2015-07-17
Last Update Date2015-07-17
Business Address
Mr. LOGAN PORTER
1003 COTTONWOOD RD
CRESTON, IA 50801-1012
Phone number: 641-782-8457
Mailing Address
Mr. LOGAN PORTER
1003 COTTONWOOD RD
CRESTON, IA 50801-1012
Phone number: 641-782-8457
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