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1356609515
VI-NITA MACON
BALTIMORE, MD
NPI
1356609515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD SC0967)
Enumeration Date
2012-04-25
Last Update Date
2012-04-25
Business Address
-- VI-NITA MACON CSC-AD
421 FALLSWAY
BALTIMORE, MD 21202-4800
Phone number: 410-837-5533
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Mailing Address
-- VI-NITA MACON CSC-AD
421 FALLSWAY
BALTIMORE, MD 21202-4800
Phone number:
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