| Mesa Professional Co. Llc | |
|
483 Forest St East Hartford CT 06118-2000 | |
| (860) 578-8783 | |
| Not Available |
| Full Name | Mesa Professional Co. Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 483 Forest St, East Hartford, Connecticut |
| Authorized Official Name and Position | Lisette Rodriguez (OWNER/MANAGER) |
| Authorized Official Contact | 8605788783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Professional Co. Llc 483 Forest St East Hartford CT 06118-2000 Ph: () - | Mesa Professional Co. Llc 483 Forest St East Hartford CT 06118-2000 Ph: (860) 578-8783 |
| NPI Number | 1487409116 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487409116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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