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1902670003
MARIE DENISE PORTER
MENTOR, OH
NPI
1902670003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.186466)
Enumeration Date
2023-11-08
Last Update Date
2023-11-15
Business Address
MARIE DENISE PORTER CDCA
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: 440-255-0678
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Mailing Address
MARIE DENISE PORTER CDCA
7569 PINEHURST DR
MENTOR ON THE LAKE, OH 44060-3203
Phone number: 440-382-0766
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