Organization
PENSARC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIA DEL CARMEN PRADO (MEMBER)
(203) 918-1070
Entity
Organization
Contact information
Practice address
23 MILTIADES AVE, RIVERSIDE, CT 06878-2007
(203) 918-1070
Mailing address
23 MILTIADES AVE, RIVERSIDE, CT 06878-2007
(203) 918-1070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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