| Professional Institute For Clinical Service, Llc | |
|
360 Bloomfield Ave Ste 306 Windsor CT 06095-2700 | |
| (860) 539-5995 | |
| Not Available |
| Full Name | Professional Institute For Clinical Service, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 360 Bloomfield Ave Ste 306, Windsor, Connecticut |
| Authorized Official Name and Position | Trudy Tamara Pearson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8605395995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Institute For Clinical Service, Llc 114 Indian Hill Rd Windsor CT 06095-1453 Ph: (860) 539-5995 | Professional Institute For Clinical Service, Llc 360 Bloomfield Ave Ste 306 Windsor CT 06095-2700 Ph: (860) 539-5995 |
| NPI Number | 1518443027 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 07/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518443027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009351 (Connecticut) | Primary |
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