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Individual

DR. VITO JOHN GUARNACCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
206 SEDGEMOOR DR, CARY, NC 27513-5594
(919) 210-3958
Mailing address
206 SEDGEMOOR DR, CARY, NC 27513-5594
(919) 210-3958

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3348
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000932
NC
Enumeration date
02/18/2007
Last updated
03/25/2015
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