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1164615068
LUIS MENDEZ
HARTFORD, CT
NPI
1164615068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CT 007425)
Enumeration Date
2007-08-23
Last Update Date
2010-10-28
Business Address
LUIS MENDEZ LCSW
200 RETREAT AVENUE HARTFORD HOSPITAL CHILD PSYCHIATRY
HARTFORD, CT 06106-3310
Phone number: 860-545-7239
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Mailing Address
LUIS MENDEZ LCSW
PO BOX 415933 ATTN: CREDENTIALING DPT
BOSTON, MA 02241-5933
Phone number: 860-545-7602
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