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1770276966
LACY BURTON
BALTIMORE, MD
NPI
1770276966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD ADT3292)
Enumeration Date
2023-06-01
Last Update Date
2023-06-01
Business Address
LACY BURTON ADT
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
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Mailing Address
LACY BURTON ADT
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
Copy
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