MENTORIA S PANNELL
Licensed Clinical Social Worker


Address: 245 Stapleton Road, Springfield, MA 01109

MENTORIA S PANNELL (Credential# 782214) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is March 26, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

MENTORIA S PANNELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.004051. The credential type is licensed clinical social worker. The effective date is March 26, 2004. The expiration date is February 28, 2005. The business address is 245 Stapleton Road, Springfield, MA 01109. The current status is inactive.

Basic Information

Licensee Name MENTORIA S PANNELL
Credential ID 782214
Credential Number 58.004051
Credential Type Licensed Clinical Social Worker
Business Address 245 Stapleton Road
Springfield
MA 01109
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-04-04
Effective Date 2004-03-26
Expiration Date 2005-02-28
Refresh Date 2009-07-08

Office Location

Street Address 245 STAPLETON ROAD
City SPRINGFIELD
State MA
Zip Code 01109

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Competitor

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City SPRINGFIELD
Zip Code 01109
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + SPRINGFIELD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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