MUNDRAE DALLAS WHITE

BALTIMORE, MD
NPI1669832028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MD  LCA2225)
Enumeration Date2016-02-29
Last Update Date2016-02-29
Business Address
MUNDRAE DALLAS WHITE LCADC
3218 MAYFAIR RD
BALTIMORE, MD 21207-4561
Phone number: 410-725-8611
Mailing Address
MUNDRAE DALLAS WHITE LCADC
3218 MAYFAIR RD
BALTIMORE, MD 21207-4561
Phone number: 410-725-8611
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