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1962713628
SUSAN PORTER
PHOENIX, AZ
NPI
1962713628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC14112)
Enumeration Date
2010-06-28
Last Update Date
2013-01-22
Business Address
Mrs. SUSAN PORTER MC, LPC
5570 W MINE TRL
PHOENIX, AZ 85083-9326
Phone number: 623-826-5980
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Mailing Address
Mrs. SUSAN PORTER MC, LPC
5570 W MINE TRL
PHOENIX, AZ 85083-9326
Phone number: 623-826-5980
Copy
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