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Individual

ANA MARIA DEPASQUALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDCA.165810

Contact information

Practice address
1134 JACKSON PIKE, GALLIPOLIS, OH 45631-2600
(740) 446-9129
(740) 612-9021
Mailing address
1134 JACKSON PIKE, GALLIPOLIS, OH 45631-2600
(740) 446-9129
(740) 612-9021

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.165810
OH

Other

Enumeration date
01/23/2019
Last updated
01/23/2019
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