Provider Information for 1316276280
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Mr. JOHN DOLESKI LCSW-C
Sex: Male
NPI: 1316276280
Last Updated: 2024-08-23
Certification Date: 2024-08-23
Certification Date: 2024-08-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1316276280 | ||||||||||||
| Enumeration Date | 2009-12-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1060 W PERIMETER RD JB ANDREWS, MD 20762-6602 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 1060 W PERIMETER RD JB ANDREWS, MD 20762-6602 United States Phone: 888-999-1212 | Fax: | ||||||||||||
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