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1386042125
STEPHANIE VANDERVALL
BALTIMORE, MD
NPI
1386042125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC1683)
Enumeration Date
2014-12-10
Last Update Date
2014-12-10
Business Address
-- STEPHANIE VANDERVALL MS,CACAD
1501 W SARATOGA ST
BALTIMORE, MD 21223-1749
Phone number: 410-383-3129
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Mailing Address
-- STEPHANIE VANDERVALL MS,CACAD
1501 W SARATOGA ST
BALTIMORE, MD 21223-1749
Phone number: 410-383-3129
Copy
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