MS. Theresa Ann Porter, LICSW
NPI #1386755023 in Bismarck, North Dakota
Provider Information
- NPI Number
- 1386755023
- Entity Type
- Individual
- Name
- MS. Theresa Ann Porter, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LICSW
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Mar 3, 2010
Practice Location
- Address
- 600 SOUTH 2ND STREET
- Address 2
- SUITE 201
- City
- Bismarck
- State
- North Dakota
- ZIP Code
- 58504-5729
- Phone
- (701) 258-3780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Social Worker |
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