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1902532146
LISA M PORTAL
ENFIELD, CT
NPI
1902532146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-07-29
Last Update Date
2023-04-06
Business Address
LISA M PORTAL
153 HAZARD AVE
ENFIELD, CT 06082-4592
Phone number: 860-731-5522
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Mailing Address
LISA M PORTAL
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-731-5522
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