DAMIAN WILLIAM RANDALL

TOWSON, MD
NPI1811634207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  ADT2649)
Enumeration Date2022-05-17
Last Update Date2023-08-03
Business Address
DAMIAN WILLIAM RANDALL ADT
8600 LASALLE RD 212
TOWSON, MD 21286
Phone number: 866-929-1754
Mailing Address
DAMIAN WILLIAM RANDALL ADT
8600 LASALLE RD SUITE 212
TOWSON, MD 21286
Phone number: 410-773-0500
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