Individual
MR. MARC GIANDENOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 BIG WILLOW WAY, ROLESVILLE, NC 27571-9329
(919) 633-1196
Mailing address
406 BIG WILLOW WAY, ROLESVILLE, NC 27571-9329
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2134
NC
Other
Enumeration date
11/16/2013
Last updated
11/16/2013
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