Individual
DANIELLE PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, SSW, MSW
Contact information
Practice address
6051 FRANKFORT HWY STE 100, BENZONIA, MI 49616-9657
(231) 882-4409
Mailing address
4549 MANOR WOOD DR N, TRAVERSE CITY, MI 49685-8729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851101712
MI
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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