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1871623751
TERRY PORTER
COVINA, CA
NPI
1871623751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 49499)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Mr. TERRY PORTER MFT Intern
535 S 2ND AVE
COVINA, CA 91723-3013
Phone number: 626-974-0770
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Mailing Address
Mr. TERRY PORTER MFT Intern
535 S 2ND AVE
COVINA, CA 91723-3013
Phone number: 626-974-0770
Copy
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