LARRY BASTFIELD

BALTIMORE, MD
NPI1588149009
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2018-10-01
Last Update Date2018-10-01
Business Address
MR. LARRY BASTFIELD
5404 REISTERSTOWN RD
BALTIMORE, MD 21215-4403
Phone number: 410-764-0590
Mailing Address
MR. LARRY BASTFIELD
5404 REISTERSTOWN RD
BALTIMORE, MD 21215-4403
Phone number: 410-764-0590
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