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Individual
MRS. JULIE PORTILLO
Active
Individual
MRS. JULIE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23299
MD
106H00000X
Marriage & Family Therapist
23299
MD
Other
Enumeration date
07/15/2022
Last updated
10/11/2024
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