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1124159066
CRYSTAL T CLARK
BALTIMORE, MD
NPI
1124159066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MD AF2664200)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
Dr. CRYSTAL T CLARK M.D.
600 NORTH WOLFE STREET
BALTIMORE, MD 21287-7381
Phone number: 443-287-4506
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Mailing Address
Dr. CRYSTAL T CLARK M.D.
1020 PARK AVE APARTMENT 613
BALTIMORE, MD 21201-5640
Phone number: 708-574-1772
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