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Individual

MRS. CARMEN M MALDONADO PEPIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.A

Contact information

Practice address
30 ARBOR ST, HARTFORD, CT 06106-1215
(860) 231-2487
Mailing address
30 ARBOR ST, HARTFORD, CT 06106-1215

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary
171R00000X
Interpreter
172A00000X
Driver

Other

Enumeration date
11/07/2014
Last updated
11/07/2014
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