VI-NITA MACON

BALTIMORE, MD
NPI1356609515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  SC0967)
Enumeration Date2012-04-25
Last Update Date2012-04-25
Business Address
-- VI-NITA MACON CSC-AD
421 FALLSWAY
BALTIMORE, MD 21202-4800
Phone number: 410-837-5533
Mailing Address
-- VI-NITA MACON CSC-AD
421 FALLSWAY
BALTIMORE, MD 21202-4800
Phone number:
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