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1548799711
JASON M PRENOVEAU
BALTIMORE, MD
NPI
1548799711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MD 05005)
Enumeration Date
2017-06-09
Last Update Date
2017-06-09
Business Address
Dr. JASON M PRENOVEAU Ph.D.
4501 N CHARLES ST
BALTIMORE, MD 21210-2601
Phone number: 410-617-5240
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Mailing Address
Dr. JASON M PRENOVEAU Ph.D.
112 BRANDON RD
BALTIMORE, MD 21212-1127
Phone number: 410-337-0523
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