Provider Information for 1265932933
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CHARUTA PEDNEKAR LICSW
Sex: Female
NPI: 1265932933
Last Updated: 2018-02-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1265932933 | ||||||||
| Enumeration Date | 2018-02-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 23 LEONARD RD FRAMINGHAM, MA 01701-4915 United States Phone: 617-838-7307 | Fax: | ||||||||
| Primary Practice Address | 170 MORTON ST JAMAICA PLAIN, MA 02130-3735 United States Phone: 617-971-3429 | Fax: | ||||||||
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