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Organization
PORTIA PENDLETON, LCSW LLC.
Active
Organization
PORTIA PENDLETON, LCSW LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PORTIA PENDLETON LCSW (OWNER)
(860) 759-9162
Entity
Organization
Contact information
Practice address
251 MAIN ST STE 200, OLD SAYBROOK, CT 06475-2357
(860) 245-9598
Mailing address
12 ROGERS LAKE TRL, OLD LYME, CT 06371-1223
(860) 759-9162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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