Andrew Porter, LCSW Valid NPI
Individual provider · Clinical Social Worker · Edmond, OK
- NPI
- 1134331861
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 3875 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-05-04
- Last updated
- 2023-03-24
Practice location
16301 Sonoma Park Dr
Edmond, OK 73013-2091
(572) 208-8425