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1811634207
DAMIAN WILLIAM RANDALL
TOWSON, MD
NPI
1811634207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD ADT2649)
Enumeration Date
2022-05-17
Last Update Date
2023-08-03
Business Address
DAMIAN WILLIAM RANDALL ADT
8600 LASALLE RD 212
TOWSON, MD 21286
Phone number: 866-929-1754
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Mailing Address
DAMIAN WILLIAM RANDALL ADT
8600 LASALLE RD SUITE 212
TOWSON, MD 21286
Phone number: 410-773-0500
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