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1639159080
MARLENE A. BUCKLEW
BALTIMORE, MD
NPI
1639159080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC0407)
Enumeration Date
2006-01-20
Last Update Date
2007-07-08
Business Address
-- MARLENE A. BUCKLEW CAC-AD
2117 MARYLAND AVE
BALTIMORE, MD 21218-5614
Phone number: 410-837-4292
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Mailing Address
-- MARLENE A. BUCKLEW CAC-AD
2117 MARYLAND AVE
BALTIMORE, MD 21218-5614
Phone number: 410-837-4292
Copy
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