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1114518446
DELIA VICIDOMINI
MOORESVILLE, NC
NPI
1114518446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A16323)
Enumeration Date
2021-01-29
Last Update Date
2021-01-29
Business Address
DELIA VICIDOMINI LCMHCA
311 WILLIAMSON RD STE 103
MOORESVILLE, NC 28117-5967
Phone number: 704-360-3049
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Mailing Address
DELIA VICIDOMINI LCMHCA
6155 OLDE FIELDS WAY
PFAFFTOWN, NC 27040-8223
Phone number: 336-575-6660
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