MR. THOMAS PORTER, LICSW

Social Worker - Clinical

Active Individual
NPI: 1770564551

Practice Address

29 PINE STREET
Southbridge, MA 01550

Phone: (508) 765-9167

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No 102096 (MA)
Social Worker - Clinical 1041C0700X Yes 102096 (MA)

Frequently Asked Questions

NPI 1770564551 is the National Provider Identifier for MR. THOMAS PORTER, LICSW, a Social Worker - Clinical provider located in Southbridge, MA. This NPI was enumerated on November 9, 2005.
MR. THOMAS PORTER, LICSW practices at 29 PINE STREET, Southbridge, MA 01550.

Quick Facts

NPI
1770564551
Type
Individual
Enumerated
Nov 9, 2005
Last Updated
Jun 15, 2011

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