Individual
MR. ANDREW DEMALIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
15 EASY ST, PLAINFIELD, CT 06374-1144
(774) 312-3881
Mailing address
15 EASY ST, PLAINFIELD, CT 06374-1144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00932
RI
Other
Enumeration date
07/17/2024
Last updated
08/27/2024
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