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1134676620
LARRY KIRKLAND
BALTIMORE, MD
NPI
1134676620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC0319)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- LARRY KIRKLAND
3051 SINCLAIR LANE
BALTIMORE, MD 21213
Phone number: 410-558-4888
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Mailing Address
-- LARRY KIRKLAND
735 E LAKE AVE
BALTIMORE, MD 21212-3105
Phone number:
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