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1215018007
GENIE M. PORTILLO
WESTHAMPTON BEACH, NY
NPI
1215018007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R065271-1)
Enumeration Date
2006-10-18
Last Update Date
2021-04-21
Business Address
Ms. GENIE M. PORTILLO LCSWR
16 LIBRARY AVE SUITE B
WESTHAMPTON BEACH, NY 11978-2664
Phone number: 631-998-4644
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Mailing Address
Ms. GENIE M. PORTILLO LCSWR
16 LIBRARY AVE SUITE B
WESTHAMPTON BEACH, NY 11978-2664
Phone number: 631-998-4644
Copy
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