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Individual
MR. DOMINICK ANTHONY DEBLASIO
Active
Individual
MR. DOMINICK ANTHONY DEBLASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00101900
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00119700
NJ
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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