DOMINICK J IANNOTTI

LEWISTON, ME
NPI1730366956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC1106)
Enumeration Date2008-01-30
Last Update Date2008-01-30
Business Address
-- DOMINICK J IANNOTTI LADC
571 SABATTUS ST SUITE 6
LEWISTON, ME 04240-4156
Phone number: 207-784-4364
Mailing Address
-- DOMINICK J IANNOTTI LADC
51 MARY ST
LEWISTON, ME 04240-5753
Phone number: