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1407639636
CODY WATERMAN
FREDERICK, MD
NPI
1407639636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD adt3307)
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
CODY WATERMAN ADT
205 BROADWAY ST STE 110
FREDERICK, MD 21701-6760
Phone number: 301-637-0222
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Mailing Address
CODY WATERMAN ADT
205 BROADWAY ST STE 110
FREDERICK, MD 21701-6760
Phone number: 301-637-0222
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