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Brooklyn Jean Porter

Case Manager/Care Coordinator in Yakima, WA. Individual provider (NPI-1).

NPI number1982432902
StatusActive
Last updated in NPPESJul 22, 2024

Details

NPI
1982432902
Entity type
Individual (NPI-1)
Name
Brooklyn Jean Porter
Sex
Female
Sole proprietor
No
Enumeration date
Jul 22, 2024
Certification date
Jul 22, 2024
Last updated
Jul 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

402 S 4th Ave
Yakima, WA 98902-3546

Phone 509-575-4084

Mailing address

Po Box 959
Yakima, WA 98907-0959

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