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Individual
PETER ZAWASKI
Active
Individual
PETER ZAWASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1703288
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1703288
SCAADAC
SC
Enumeration date
12/28/2018
Last updated
12/28/2018
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