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1255053609
CRISTEN WALLACE
BALTIMORE, MD
NPI
1255053609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD SC2995)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
CRISTEN WALLACE CSC-AD
222 N CHARLES ST STE 101B
BALTIMORE, MD 21201-4032
Phone number: 443-845-4639
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Mailing Address
CRISTEN WALLACE CSC-AD
222 N CHARLES ST STE 101B
BALTIMORE, MD 21201-4032
Phone number: 443-845-4639
Copy
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