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1164694410
CORNELIUS EDWARDS
EASTON, MD
NPI
1164694410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MD LCA200)
Enumeration Date
2008-03-27
Last Update Date
2013-12-18
Business Address
MR. CORNELIUS EDWARDS LCADC
10 S HANSON ST
EASTON, MD 21601-3010
Phone number: 410-819-5661
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Mailing Address
MR. CORNELIUS EDWARDS LCADC
4895 EDMONDSON CREEK RD
PRESTON, MD 21655-1474
Phone number: 410-924-9659
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