MICHAEL KIRK DOUGLAS

BALTIMORE, MD
NPI1437203544
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  AC0626)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
Mr. MICHAEL KIRK DOUGLAS M.H.S., CAC-AD
1303 KENT AVENUE
BALTIMORE, MD 21207-4828
Phone number: 410-719-7408
Mailing Address
Mr. MICHAEL KIRK DOUGLAS M.H.S., CAC-AD
1303 KENT AVE
BALTIMORE, MD 21207-4828
Phone number: 410-719-7408
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