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1811240419
KENNETH FOSTER
BALTIMORE, MD
NPI
1811240419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC0749)
Enumeration Date
2012-10-19
Last Update Date
2012-10-19
Business Address
-- KENNETH FOSTER CAC-AD
2225 N CHARLES ST
BALTIMORE, MD 21218-5778
Phone number: 443-683-8050
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Mailing Address
-- KENNETH FOSTER CAC-AD
6511 WOODGREEN CIR
BALTIMORE, MD 21207-7801
Phone number: 443-683-8050
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