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THOMAS PORTER, LICSW
LICSW
Clinical Social Worker
NPI: 1770564551IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health Counselor
Counselor — Mental Health
Code: 101YM0800X
102096(MA)
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
102096(MA)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 1973
Contact & Hours
- Address
- 29 PINE STREET
SOUTHBRIDGE, MA 01550 - Phone
- (508) 765-9167
Quick Facts
- NPI
- 1770564551
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 53
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