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1730366956
DOMINICK J IANNOTTI
LEWISTON, ME
NPI
1730366956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC1106)
Enumeration Date
2008-01-30
Last Update Date
2008-01-30
Business Address
-- DOMINICK J IANNOTTI LADC
571 SABATTUS ST SUITE 6
LEWISTON, ME 04240-4156
Phone number: 207-784-4364
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Mailing Address
-- DOMINICK J IANNOTTI LADC
51 MARY ST
LEWISTON, ME 04240-5753
Phone number:
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