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1689047177
THERESA THOMAS
RANDALLSTOWN, MD
NPI
1689047177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC1484)
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
-- THERESA THOMAS
4103 FOX HOLLOW LN
RANDALLSTOWN, MD 21133-2041
Phone number: 410-340-8544
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Mailing Address
-- THERESA THOMAS
4103 FOX HOLLOW LANE
RANDALLSTOWN, MD 21133-2416
Phone number: 410-370-8544
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