| Mark Chuoke | |
|
265 Paine Rd Pomfret Center CT 06259-1928 | |
| (860) 481-1351 | |
| Not Available |
| Full Name | Mark Chuoke |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 265 Paine Rd, Pomfret Center, Connecticut |
| Authorized Official Name and Position | Mark Chuoke (OWNER AND CLINICIAN) |
| Authorized Official Contact | 8604811351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Chuoke 265 Paine Rd Pomfret Center CT 06259-1928 Ph: (860) 481-1351 | Mark Chuoke 265 Paine Rd Pomfret Center CT 06259-1928 Ph: (860) 481-1351 |
| NPI Number | 1619378007 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619378007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 002387 (Connecticut) | Primary |
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