Charlene Portnoy LLC
NPI #1780172569 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1780172569
- Entity Type
- Organization
- Organization Name
- Charlene Portnoy LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 26, 2018
- Last Updated
- Apr 26, 2018
Practice Location
- Address
- 6465 WAYZATA BLVD STE 355
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-1730
- Phone
- (612) 760-2859
Authorized Official
- Name
- CHARLENE MAYSON PORTNOY, MSW
- Title
- LICSW, LMFT
- Phone
- (612) 760-2859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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