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1710459656
IRENA S PAWLAK-TABOR
BALTIMORE, MD
NPI
1710459656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD SC2566)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
IRENA S PAWLAK-TABOR
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
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Mailing Address
IRENA S PAWLAK-TABOR
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
Copy
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