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1912288804
BRIAN PASSALAQUA
WILMINGTON, DE
NPI
1912288804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DE Q1-0001092)
Enumeration Date
2011-09-06
Last Update Date
2011-09-06
Business Address
Mr. BRIAN PASSALAQUA LCSW
500 W 10TH ST
WILMINGTON, DE 19801-1422
Phone number: 302-230-9154
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Mailing Address
Mr. BRIAN PASSALAQUA LCSW
500 W 10TH ST
WILMINGTON, DE 19801-1422
Phone number: 302-230-9154
Copy
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