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Individual

DOMINICK DISALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
5300 KIDSPEACE DR, OREFIELD, PA 18069-2000
(610) 799-7953
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/23/2021
Last updated
07/23/2021
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