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1538540083
ANDRE THOMPSON
BALTIMORE, MD
NPI
1538540083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD SC1373)
Enumeration Date
2015-06-10
Last Update Date
2015-06-10
Business Address
-- ANDRE THOMPSON
2225 N CHARLES ST
BALTIMORE, MD 21218-5778
Phone number: 410-366-4360
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Mailing Address
-- ANDRE THOMPSON
1925 GREENSPRING DR
TIMONIUM, MD 21093-4128
Phone number: 410-453-9553
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