Provider Information for 1144423906
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RITA MARIE PORTER LCPC
Sex: Female
NPI: 1144423906
Last Updated: 2012-05-03
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1144423906 | ||||||||||||
| Enumeration Date | 2007-06-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2671 STONE CIR #205 GENEVA, IL 60134-1008 United States Phone: 630-966-4329 | Fax: | ||||||||||||
| Primary Practice Address | 1230 N HIGHLAND AVE AURORA, IL 60506-1401 United States Phone: 630-966-4000 | Fax: | ||||||||||||
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