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1275276289
MICHAEL BRUCE HERRELL
HAGERSTOWN, MD
NPI
1275276289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD ADT2483)
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
MICHAEL BRUCE HERRELL
12134 WALNUT POINT RD
HAGERSTOWN, MD 21740-2316
Phone number: 410-892-4033
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Mailing Address
MICHAEL BRUCE HERRELL
12134 WALNUT POINT RD
HAGERSTOWN, MD 21740-2316
Phone number: 410-892-4033
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