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1689783946
CHARLES BRILLIANT
BALTIMORE, MD
NPI
1689783946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 07321)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- CHARLES BRILLIANT LCSW-C
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218-2108
Phone number: 410-605-7521
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Mailing Address
-- CHARLES BRILLIANT LCSW-C
6201 GATEPOST WAY
ELKRIDGE, MD 21075-6021
Phone number: 410-605-7521
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