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1558045922
MACIE LEIGH PHILLIPS
LAVALE, MD
NPI
1558045922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD 3265)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
MACIE LEIGH PHILLIPS
14701 NATIONAL HWY SW
LAVALE, MD 21502-6573
Phone number: 301-687-0940
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Mailing Address
MACIE LEIGH PHILLIPS
14701 NATIONAL HWY SW
LAVALE, MD 21502-6573
Phone number: 301-687-0940
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