MICHAEL COLE PENDERGAST

CHARLESTOWN, RI
NPI1124181243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  ISW01338)
Enumeration Date2006-12-19
Last Update Date2008-08-04
Business Address
-- MICHAEL COLE PENDERGAST MSW, LICSW, ACSW
4705A OLD POST RD
CHARLESTOWN, RI 02813-1819
Phone number: 401-364-7705
Mailing Address
-- MICHAEL COLE PENDERGAST MSW, LICSW, ACSW
PO BOX 899 SOUTH SHORE MENTAL HEALTH CENTER
CHARLESTOWN, RI 02813
Phone number: 401-364-7705
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