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Organization
MARK PELUSO LCSW LLC
Active
Organization
MARK PELUSO LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PELUSO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(860) 704-9313
Entity
Organization
Contact information
Practice address
1177 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4348
(860) 704-9313
Mailing address
1177 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4348
(860) 704-9313
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007552
CT
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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