Individual
JUDITH L IANNOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
571 SABATTUS ST, SUITE 7, LEWISTON, ME 04240-4156
(207) 784-4364
Mailing address
51 MARY ST, LEWISTON, ME 04240-5753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3610
ME
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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