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1497006589
TANYA Y PRINCE
BALTIMORE, MD
NPI
1497006589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC1790)
Enumeration Date
2012-09-28
Last Update Date
2012-09-28
Business Address
-- TANYA Y PRINCE MHS, CAC-AD
2225 N CHARLES ST
BALTIMORE, MD 21218-5778
Phone number: 443-573-8673
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Mailing Address
-- TANYA Y PRINCE MHS, CAC-AD
5620 WESLEY AVE
BALTIMORE, MD 21207-6827
Phone number: 443-760-2973
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