Provider Information for 1548779358
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JOSEPH HUGH GASPERINI LPC
Sex: Male
NPI: 1548779358
Last Updated: 2022-07-21
Certification Date: 2020-08-04
Certification Date: 2020-08-04
Details
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NPI | 1548779358 | ||||||||
Enumeration Date | 2017-09-25 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 220 PARADISE LN SOUTH BOSTON, VA 24592-3243 United States Phone: 434-572-4544 | Fax:434-321-5140 | ||||||||
Primary Practice Address | 220 PARADISE LN SOUTH BOSTON, VA 24592-3243 United States Phone: 434-572-4544 | Fax:434-321-5140 | ||||||||
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