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1992899421
MICHAEL JOHN PORTE
SOUTH PASADENA, CA
NPI
1992899421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 11704)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JOHN PORTE LCSW
1138 FREMONT AVENUE SUITE # 203
SOUTH PASADENA, CA 91030-3201
Phone number: 626-403-4659
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Mailing Address
Mr. MICHAEL JOHN PORTE LCSW
1138 FREMONT AVENUE SUITE # 203
SOUTH PASADENA, CA 91030-3201
Phone number: 626-403-4659
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