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1487983607
JAMES MANISCALCO
CHARLESTOWN, IN
NPI
1487983607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-12-17
Last Update Date
2009-12-17
Business Address
-- JAMES MANISCALCO
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number: 812-256-4686
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Mailing Address
-- JAMES MANISCALCO
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number:
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