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Individual

MICHAEL T DEGILIO

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
454 N CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-2706
(570) 622-1025
(570) 628-4434
Mailing address
454 N CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-2706
(570) 622-1025
(570) 628-4434

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/06/2006
Last updated
07/08/2007
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