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Individual

PETER INTOCCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BH

Contact information

Practice address
1808 COLONIAL VILLAGE LN, SUITE 103, LANCASTER, PA 17601-6745
(717) 391-0172
(717) 391-7771
Mailing address
1808 COLONIAL VILLAGE LN, SUITE 103, LANCASTER, PA 17601-6745
(717) 391-0172
(717) 391-7771

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BH001779
PA

Other

Enumeration date
06/26/2014
Last updated
06/26/2014
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