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1134164064
VINCENT JOHN GENNACO
SALEM, MA
NPI
1134164064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MA 359)
Enumeration Date
2006-06-17
Last Update Date
2010-07-07
Business Address
Mr. VINCENT JOHN GENNACO M.A.
6 NORMAN ST
SALEM, MA 01970-3314
Phone number: 978-745-5114
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Mailing Address
Mr. VINCENT JOHN GENNACO M.A.
6 NORMAN ST
SALEM, MA 01970-3314
Phone number: 978-745-5114
Copy
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