MR. Thomas Friedl Porter, LICSW
NPI #1770564551 in Southbridge, Massachusetts
Provider Information
- NPI Number
- 1770564551
- Entity Type
- Individual
- Name
- MR. Thomas Friedl Porter, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Nov 9, 2005
- Last Updated
- Jun 15, 2011
Practice Location
- Address
- 29 PINE STREET
- City
- Southbridge
- State
- Massachusetts
- ZIP Code
- 01550
- Phone
- (508) 765-9167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
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