Derrick Allen Porter, MSW

NPI #1245517341 in Merrillville, Indiana

Provider Information

NPI Number
1245517341
Entity Type
Individual
Name
Derrick Allen Porter, MSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
MSW
Enumeration Date
Nov 3, 2011
Last Updated
Apr 17, 2014

Practice Location

Address
1441 E 84TH PL
State
Indiana
ZIP Code
46410-6451
Phone
(219) 794-2000

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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