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1356195598
BROOKE NICOLE BETLAF
BALTIMORE, MD
NPI
1356195598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD ADT3463)
Enumeration Date
2024-04-15
Last Update Date
2024-04-15
Business Address
BROOKE NICOLE BETLAF
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229-5213
Phone number: 410-646-6970
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Mailing Address
BROOKE NICOLE BETLAF
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229-5213
Phone number: 410-646-6970
Copy
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