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MR. PETER MARC SCHOENHOLTZ L.C.S.W.

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1255523106

Individual Registrant:
MR. PETER MARC SCHOENHOLTZ L.C.S.W.
Gender: M
Sole Proprietor

Location and contact information for practice:
12 TITUS RD  WASHINGTON DEPOT, CT 06794-1517 US
Tel: 860-868-1181  Fax: 860-868-1181

Contact information for business:
12 TITUS RD PO BOX 172 WASHINGTON DEPOT, CT 06794-1517 US
Tel: 860-868-1181  Fax: 860-868-1181

Registration Information:
NPI: 1255523106
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT001417

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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