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1023194925
DAVID PELLEGRINO
RANDOLPH, VT
NPI
1023194925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VT 068-0000170)
Enumeration Date
2006-10-31
Last Update Date
2007-07-09
Business Address
-- DAVID PELLEGRINO LCMHC
11 S MAIN ST
RANDOLPH, VT 05060-1330
Phone number: 802-728-4466
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Mailing Address
-- DAVID PELLEGRINO LCMHC
20 FOREST ST
RANDOLPH, VT 05060-1007
Phone number: 802-728-4407
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