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1992405955
COLLIS REGINA PORTER
SILVER SPRING, MD
NPI
1992405955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-03-08
Last Update Date
2023-07-10
Business Address
COLLIS REGINA PORTER
3418 ROBEY TER APT 302
SILVER SPRING, MD 20904-7773
Phone number: 240-956-9499
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Mailing Address
COLLIS REGINA PORTER
3418 ROBEY TER APT 302
SILVER SPRING, MD 20904-7773
Phone number: 240-956-9499
Copy
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