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Individual
MRS. HALEY PORTUESI
Active
Individual
MRS. HALEY PORTUESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24262
MD
1041C0700X
Clinical Social Worker
C016190
NC
1041C0700X
Clinical Social Worker
DP00945675
WV
Other
Enumeration date
08/31/2021
Last updated
04/05/2024
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