Individual
JULIA D. PORTALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
61 SUNRISE AVE, NEW CANAAN, CT 06840-6101
(203) 273-4645
Mailing address
61 SUNRISE AVE, NEW CANAAN, CT 06840-6101
(203) 273-4645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3242
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3242
LMSW
CT
Enumeration date
04/21/2020
Last updated
04/21/2020
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