Organization
JILLIAN FENTON LLC
Active
Other names
Jillian Fenton, LICSW
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILLIAN FENTON MSW, LICSW (CLINICAL SOCIAL WORKER)
(401) 683-2555
Entity
Organization
Contact information
Practice address
11 KING CHARLES DR, SUITE A, PORTSMOUTH, RI 02871-1364
(401) 683-2555
Mailing address
11 KING CHARLES DR, SUITE A, PORTSMOUTH, RI 02871-1364
(401) 683-2555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01636
RI
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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