EBONY PORTIS

SAN ANTONIO, TX
NPI1902312515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: TX  61782)
Enumeration Date2017-12-19
Last Update Date2020-12-16
Business Address
EBONY PORTIS LCSW
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number: 210-617-5300
Mailing Address
EBONY PORTIS LCSW
8940 FOURWINDS DR STE 143
WINDCREST, TX 78239-1958
Phone number: 706-910-8811
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