Individual
MRS. DEANNE MICHELLE IANNACCHIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED. LADCI
Contact information
Practice address
95 LINCOLN ST, WORCESTER, MA 01605-2431
(508) 799-9000
(508) 756-0548
Mailing address
8 ROYAL RD, WORCESTER, MA 01603-1940
(508) 757-1536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1547
MA
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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