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1700209269
ETHLYNNE THOMAS
BALTIMORE, MD
NPI
1700209269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
283Q00000X Psychiatric Hospital
(Licence: MD 17105)
Enumeration Date
2014-02-03
Last Update Date
2014-02-03
Business Address
-- ETHLYNNE THOMAS LGSW
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239-2945
Phone number: 443-444-3812
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Mailing Address
-- ETHLYNNE THOMAS LGSW
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239-2945
Phone number:
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