JUDY ANNE PORTELLA-SELF

PROVIDENCE, RI
NPI1073676912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  ISW00871)
Enumeration Date2006-12-19
Last Update Date2007-07-08
Business Address
Ms. JUDY ANNE PORTELLA-SELF MSW,RN,LCDPII
105 MEDWAY ST
PROVIDENCE, RI 02906-4401
Phone number: 401-454-5720
Mailing Address
Ms. JUDY ANNE PORTELLA-SELF MSW,RN,LCDPII
105 MEDWAY ST
PROVIDENCE, RI 02906-4401
Phone number: 401-454-5720
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