Individual
JILL PORTARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 EWING ST STE C10, PRINCETON, NJ 08540-2756
(908) 809-5103
Mailing address
601 EWING ST STE C10, PRINCETON, NJ 08540-2756
(908) 809-5103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05917100
NJ
Other
Enumeration date
05/25/2015
Last updated
02/07/2020
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