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1154614683
JUSTIN SCOTT PROCTOR
DUNDALK, MD
NPI
1154614683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 16918)
Enumeration Date
2011-05-17
Last Update Date
2017-01-27
Business Address
-- JUSTIN SCOTT PROCTOR LCSW-C
53 AVALON AVE
DUNDALK, MD 21222-4847
Phone number: 443-208-4326
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Mailing Address
-- JUSTIN SCOTT PROCTOR LCSW-C
53 AVALON AVE
DUNDALK, MD 21222-4847
Phone number: 443-208-4326
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