Individual
MR. CRAIG ALAN MENDOLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2613
(203) 573-6500
Mailing address
157 WALNUT HILL RD, THOMASTON, CT 06787-1131
(860) 283-0703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000678
CT
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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