Individual
DANIEL PENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 MULBERRY ST, SPRINGFIELD, MA 01105-1433
(413) 739-2440
Mailing address
15 MULBERRY ST, SPRINGFIELD, MA 01105-1433
(413) 739-2440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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