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1447544275
JOHN THEODORE GENAKOS
MANCHESTER, NH
NPI
1447544275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NH 0411)
Enumeration Date
2011-06-09
Last Update Date
2011-07-06
Business Address
Mr. JOHN THEODORE GENAKOS MLADC
1228 ELM ST
MANCHESTER, NH 03101-1349
Phone number: 603-668-4111
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Mailing Address
Mr. JOHN THEODORE GENAKOS MLADC
401 CYPRESS ST
MANCHESTER, NH 03103-3628
Phone number: 603-668-4111
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