MR. Jerome J Porter

NPI #1073822862 in Deland, Florida

Provider Information

NPI Number: 1073822862
Entity Type: Individual
Name: MR. Jerome J Porter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 28, 2010
Last Updated: Sep 28, 2010

Practice Location

Address: 719 E NEW ST
City: Deland
State: Florida
ZIP Code: 32724-5811
Phone: (386) 738-1891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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