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1467990440
JAMIE LICHTY
CUMBERLAND, MD
NPI
1467990440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MD SC0109)
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
JAMIE LICHTY CSCAD
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502-8339
Phone number: 301-777-2290
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Mailing Address
JAMIE LICHTY CSCAD
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502-8339
Phone number: 301-777-2290
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