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1982874186
HEIDE PORTER
SACRAMENTO, CA
NPI
1982874186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-03-04
Last Update Date
2008-03-04
Business Address
-- HEIDE PORTER
3307 BROADWAY SUITE 200
SACRAMENTO, CA 95817-2821
Phone number: 916-454-4242
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Mailing Address
-- HEIDE PORTER
3307 BROADWAY SUITE 200
SACRAMENTO, CA 95817-2821
Phone number: 916-454-4242
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