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Organization
JILLIAN FENTON LLC
Active
Organization
JILLIAN FENTON LLC
Active
Other names
Jillian Fenton, LICSW
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILLIAN FENTON MSW, LICSW (CLINICAL SOCIAL WORKER)
(401) 683-2555
Entity
Organization
Contact information
Practice address
11 KING CHARLES DR, SUITE A, PORTSMOUTH, RI 02871-1364
(401) 683-2555
Mailing address
11 KING CHARLES DR, SUITE A, PORTSMOUTH, RI 02871-1364
(401) 683-2555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01636
RI
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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