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1245755743
ODELL DENNIS FORD
BALTIMORE, MD
NPI
1245755743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD ADT1412)
Enumeration Date
2017-08-07
Last Update Date
2017-08-07
Business Address
ODELL DENNIS FORD
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
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Mailing Address
ODELL DENNIS FORD
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
Copy
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