MS. Miranda Marie Porter

NPI #1407467350 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1407467350
Entity Type: Individual
Name: MS. Miranda Marie Porter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Aug 13, 2020
Last Updated: Aug 13, 2020

Practice Location

Address: 4760 N 22ND ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53209-6335
Phone: (414) 460-8392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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