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1710076278
JERRY LAWLER
GLEN BURNIE, MD
NPI
1710076278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MD 03765)
Enumeration Date
2006-10-12
Last Update Date
2018-03-20
Business Address
Dr. JERRY LAWLER PhD
30 GREENWAY ST NW STE 5
GLEN BURNIE, MD 21061-3557
Phone number: 410-760-9079
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Mailing Address
Dr. JERRY LAWLER PhD
30 GREENWAY ST NW STE 5
GLEN BURNIE, MD 21061-3557
Phone number: 410-760-9079
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