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1790180701
MARIANA IZRAELSON
BALTIMORE, MD
NPI
1790180701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD 1737)
Enumeration Date
2014-11-03
Last Update Date
2014-11-03
Business Address
-- MARIANA IZRAELSON LCADC
201 E BALTIMORE ST
BALTIMORE, MD 21202-1535
Phone number: 410-649-0529
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Mailing Address
-- MARIANA IZRAELSON LCADC
7 REDARE CT
PARKVILLE, MD 21234-1867
Phone number: 420-412-0496
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