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1508189911
MARK LESLIE NELSON
BEL AIR, MD
NPI
1508189911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: MD 03906)
Enumeration Date
2010-03-12
Last Update Date
2010-03-12
Business Address
MARK LESLIE NELSON PH.D.
115 E CHURCHVILLE RD
BEL AIR, MD 21014-3801
Phone number: 443-226-3868
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Mailing Address
MARK LESLIE NELSON PH.D.
115 E CHURCHVILLE RD
BEL AIR, MD 21014-3801
Phone number: 443-226-3868
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