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1386045102
TIA HENRY
BALTIMORE, MD
NPI
1386045102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC2064)
Enumeration Date
2014-09-11
Last Update Date
2014-09-11
Business Address
-- TIA HENRY CAC-AD
2225 N CHARLES ST
BALTIMORE, MD 21218-5778
Phone number: 410-366-4360
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Mailing Address
-- TIA HENRY CAC-AD
2225 N CHARLES ST
BALTIMORE, MD 21218-5778
Phone number: 410-366-4360
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