ODELL DENNIS FORD

BALTIMORE, MD
NPI1245755743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  ADT1412)
Enumeration Date2017-08-07
Last Update Date2017-08-07
Business Address
ODELL DENNIS FORD
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
Mailing Address
ODELL DENNIS FORD
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773