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1073662367
DOMINIC J LIANTONIO
SOUTHBRIDGE, MA
NPI
1073662367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 5151)
Enumeration Date
2007-01-09
Last Update Date
2008-11-20
Business Address
-- DOMINIC J LIANTONIO LMHC
29 PINE ST
SOUTHBRIDGE, MA 01550-1823
Phone number: 508-764-9167
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Mailing Address
-- DOMINIC J LIANTONIO LMHC
29 PINE STREET
SOUTHBRIDGE, MA 01550
Phone number: 508-765-9167
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