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1063504546
PETER J BUCCELLATO
SUMMERVILLE, SC
NPI
1063504546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
-- PETER J BUCCELLATO
112 SPRINGVIEW LN
SUMMERVILLE, SC 29485-8108
Phone number: 843-873-5063
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Mailing Address
-- PETER J BUCCELLATO
112 SPRINGVIEW LN
SUMMERVILLE, SC 29485-8108
Phone number:
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