Provider Information for 1740590553
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ANGELICA FURTADO LCSW
Other Names:Former Name:ANGELICA PASCUAL LCSWSex: Female
NPI: 1740590553
Last Updated: 2016-02-03
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1740590553 | ||||||||||||
| Enumeration Date | 2010-10-14 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 85 LAFAYETTE ST NEW BRITAIN, CT 06051-1803 United States Phone: 860-224-3642 | Fax:860-224-2760 | ||||||||||||
| Primary Practice Address | 85 LAFAYETTE ST NEW BRITAIN, CT 06051-1803 United States Phone: 860-224-3642 | Fax:860-224-2760 | ||||||||||||
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