Individual
MR. THOMAS JOSEPH PORTNEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1708 BUNTING DR, NORTH AUGUSTA, SC 29841-6121
(803) 442-9410
Mailing address
1708 BUNTING DR, NORTH AUGUSTA, SC 29841-6124
(803) 442-9410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4379
SC
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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