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General NPI Number Information
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NPI Number | 1235757501
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Entity Type | Individual
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Provider Name | BRITTNEY S PORTALA MSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 3450 W CENTRAL AVE STE 122
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City | TOLEDO
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State | OH
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Zip | 43606-1421
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Country | US
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Telephone | 419-210-3660
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Fax | 734-344-7432
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Provider Business Mailing Address
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Address Line | 10715 PARDEE RD
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City | TAYLOR
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State | MI
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Zip | 48180-3530
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Country | US
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Telephone | 734-344-7432
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Fax | 734-344-7431
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2406034
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License Number State | OH
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