Individual
MR. ANDREW JOHN INTAGLIATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 JEFFERSON AVE, SUITE 301, TOLEDO, OH 43604-6955
(419) 244-5511
(419) 321-6459
Mailing address
6461 WHITEFORD CENTER RD, LAMBERTVILLE, MI 48144-9474
(419) 461-0990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1200115
OH
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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