Individual
MS. CAROL C. PORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 SILAS DEANE HWY, SUITE402, WETHERSFIELD, CT 06109-2124
(860) 721-0606
(860) 721-0202
Mailing address
53 NEIPSIC RD, GLASTONBURY, CT 06033-3022
(860) 430-1811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003556
CT
Other
Enumeration date
05/12/2016
Last updated
09/12/2016
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