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Individual

MR. JEREMIAH RICHARD D'ALLESANDRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAC-AD

Contact information

Practice address
103 WILLIAMSPORT CIR UNIT A, SALISBURY, MD 21804-6472
(443) 513-0500
Mailing address
11003 GRAYS CORNER RD UNIT 71, BERLIN, MD 21811-3557
(443) 210-6636

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC1894
MD

Other

Enumeration date
06/30/2021
Last updated
06/30/2021
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