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1972919413
KELLY M PORTER
MANCHESTER, CT
NPI
1972919413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 2570)
Enumeration Date
2014-07-04
Last Update Date
2016-08-11
Business Address
Mrs. KELLY M PORTER LPC
444 CENTER ST
MANCHESTER, CT 06040-3926
Phone number: 860-645-3888
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Mailing Address
Mrs. KELLY M PORTER LPC
995 DAY HILL RD
WINDSOR, CT 06095-1722
Phone number: 860-731-5522
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