Jillian Fenton LLC

NPI #1992952402 in Portsmouth, Rhode Island

Provider Information

NPI Number: 1992952402
Entity Type: Organization
Organization Name: Jillian Fenton LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 26, 2008
Last Updated: Aug 26, 2008

Practice Location

Address: 11 KING CHARLES DR
Address 2: SUITE A
City: Portsmouth
State: Rhode Island
ZIP Code: 02871-1364
Phone: (401) 683-2555

Authorized Official

Name: MS. JILLIAN FENTON, MSW, LICSW
Title: CLINICAL SOCIAL WORKER
Phone: (401) 683-2555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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