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1154735025
AMANDA LYNN SHORES
PRINCE FREDERICK, MD
NPI
1154735025
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Former Name
AMANDA LYNN BAKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-18
Last Update Date
2014-06-18
Business Address
Mrs. AMANDA LYNN SHORES MS-ADP
975 SOLOMONS ISLAND RD N
PRINCE FREDERICK, MD 20678-3917
Phone number: 410-535-3079
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Mailing Address
Mrs. AMANDA LYNN SHORES MS-ADP
PO BOX 1158
PRINCE FREDERICK, MD 20678-1158
Phone number: 410-535-3079
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