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Individual
DAVID PELLEGRINO
Active
Individual
DAVID PELLEGRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000170
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007038
—
VT
01
—
1041581
CIGNA
VT
01
—
14Y001678VT01
ANTHEM
VT
01
—
19428
BLUE CROSS
VT
Enumeration date
10/31/2006
Last updated
07/09/2007
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