Danny Paul Porter, LICSW
Social Worker, Clinical in Maplewood, MN. Individual provider (NPI-1).
NPI number1336714765
StatusActive
Last updated in NPPESMay 27, 2021
Details
- NPI
- 1336714765
- Entity type
- Individual (NPI-1)
- Name
- Danny Paul Porter
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 27, 2021
- Certification date
- May 27, 2021
- Last updated
- May 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12179 | MN | Yes |
Practice location
762 Meyer St NMaplewood, MN 55119-3861
Phone 612-998-3387
Mailing address
762 Meyer St NMaplewood, MN 55119-3861
Phone 612-998-3387
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All 43 Clinical Social Worker providers in Maplewood · All 1,400 providers in Maplewood
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