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1962231076
KELSEY PORTER
BLOOMINGTON, IN
NPI
1962231076
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34011101A)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
KELSEY PORTER LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
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Mailing Address
KELSEY PORTER LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number:
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