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1356035075
TUAN TA
BALTIMORE, MD
NPI
1356035075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD R212734)
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
TUAN TA
2415 W LAFAYETTE AVE
BALTIMORE, MD 21216-4804
Phone number: 443-403-9079
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Mailing Address
TUAN TA
2415 W LAFAYETTE AVE
BALTIMORE, MD 21216-4804
Phone number: 443-403-9079
Copy
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