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1366973158
BECKI CLARK
CUMBERLAND, MD
NPI
1366973158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC0390)
Enumeration Date
2017-03-23
Last Update Date
2017-03-23
Business Address
-- BECKI CLARK CAC-AD
12503 WILLOWBROOK RD
CUMBERLAND, MD 21502-2554
Phone number: 301-759-5050
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Mailing Address
-- BECKI CLARK CAC-AD
12503 WILLOWBROOK RD
CUMBERLAND, MD 21502-2554
Phone number: 301-759-5050
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