Individual
MRS. MARTY J PORTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 TROJAN DR, POTOSI, MO 63664-1829
(573) 438-2101
Mailing address
11767 BATES CREEK RD, POTOSI, MO 63664-7008
(573) 438-5485
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
MO
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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