Individual
KENNIA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
325 DANBURY RD, NEW MILFORD, CT 06776-4344
(860) 681-4239
Mailing address
75 WEST ST, DANBURY, CT 06810-6528
(203) 748-5689
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CT
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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