Individual
MRS. CHASTITY J PIMENTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
476 STORRS RD, MANSFIELD CENTER, CT 06250-1254
(860) 336-8148
Mailing address
1153 MAIN STREET, COVENTRY, CT 02816
(860) 336-8148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005134
CT
Other
Enumeration date
01/07/2010
Last updated
08/07/2018
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