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1821416058
GLEN ILACQUA
PLYMOUTH, MA
NPI
1821416058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-04-04
Last Update Date
2014-04-04
Business Address
-- GLEN ILACQUA M.A.
47 WHITE CLIFF DR
PLYMOUTH, MA 02360-8009
Phone number: 781-264-3449
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Mailing Address
-- GLEN ILACQUA M.A.
47 WHITE CLIFF DR
PLYMOUTH, MA 02360-8009
Phone number: 781-264-3449
Copy
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