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1770629578
THOMAS PATRICK BENNER
COLUMBIA, MD
NPI
1770629578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MD LCA157)
Enumeration Date
2007-01-29
Last Update Date
2009-06-24
Business Address
THOMAS PATRICK BENNER LCADC, MS, MAC, SAP
8950 RTE 108 SUITE 235
COLUMBIA, MD 21045-2273
Phone number: 443-812-2758
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Mailing Address
THOMAS PATRICK BENNER LCADC, MS, MAC, SAP
8950 RTE 108 SUITE 235
COLUMBIA, MD 21045-2273
Phone number: 443-812-2758
Copy
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