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1821584046
MARK SHROUT
CUMBERLAND, MD
NPI
1821584046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD ADT1636)
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
MARK SHROUT
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502-8339
Phone number: 301-777-2285
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Mailing Address
MARK SHROUT
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502-8339
Phone number:
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