Individual
MR. JAMES PENDERGAST III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
50 MOSS ST, PAWCATUCK, CT 06379-2113
(207) 749-6101
Mailing address
50 MOSS ST, PAWCATUCK, CT 06379-2113
(207) 749-6101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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