MS. Ellen Rae Porter, HS
NPI #1346378296 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1346378296
- Entity Type
- Individual
- Name
- MS. Ellen Rae Porter, HS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Adult Companion
- Credential
- HS
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 118 UNION ST
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37040-5115
- Phone
- (931) 647-8257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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| Provider Name | |
|---|---|
| Changing Lives Incorporation | |
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