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1629802079
EDNA KATHALEEN SMITH
BALTIMORE, MD
NPI
1629802079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC2022)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
EDNA KATHALEEN SMITH CAC-AD
4201 PRIMROSE AVE
BALTIMORE, MD 21215-3305
Phone number: 410-764-8560
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Mailing Address
EDNA KATHALEEN SMITH CAC-AD
10 MONTROSE AVE
OWINGS MILLS, MD 21117-4132
Phone number: 443-722-6760
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