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1760008460
DOUGLAS G MOORE
BALTIMORE, MD
NPI
1760008460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD 789)
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
Mr. DOUGLAS G MOORE
1801 CHERRY HILL RD
BALTIMORE, MD 21230-3503
Phone number: 410-354-2800
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Mailing Address
Mr. DOUGLAS G MOORE
1173 HAMPTON RD
ANNAPOLIS, MD 21409-4844
Phone number: 302-607-5011
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