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1245654813
MICHELE TANNER
BALTIMORE, MD
NPI
1245654813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD SC1860)
Enumeration Date
2014-02-18
Last Update Date
2014-02-18
Business Address
-- MICHELE TANNER CAC-AD
2225 N CHARLES ST
BALTIMORE, MD 21218-5778
Phone number: 410-366-4360
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Mailing Address
-- MICHELE TANNER CAC-AD
3004 FLEETWOOD AVE
BALTIMORE, MD 21214-1452
Phone number: 443-635-8079
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