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1609913201
JOHN P. PESANIELLO
SNOW HILL, MD
NPI
1609913201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD LCA293)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- JOHN P. PESANIELLO LCADC
422 W MARKET STREET WORCESTER COUNTY HEALTH DEPARTMENT MARKET SQUARE
SNOW HILL, MD 21863
Phone number: 410-632-4510
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Mailing Address
-- JOHN P. PESANIELLO LCADC
5242 PEARL DRIVE
CHINCOTEAGUE, VA 23336
Phone number: 757-336-3535
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