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1245414440
MARY MASCOLO PELLITTERI
DERBY, CT
NPI
1245414440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT 00364)
Enumeration Date
2007-12-24
Last Update Date
2022-05-16
Business Address
MARY MASCOLO PELLITTERI LADC
130 DIVISION STREET GRIFFIN HOSPITAL
DERBY, CT 06418
Phone number: 203-732-7550
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Mailing Address
MARY MASCOLO PELLITTERI LADC
130 DIVISION STREET GRIFFIN HOSPITAL
DERBY, CT 06418
Phone number: 203-732-7550
Copy
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