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1861622029
MARIO ORTEGA
SILVER SPRING, MD
NPI
1861622029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD 0936)
Enumeration Date
2009-07-22
Last Update Date
2009-07-22
Business Address
-- MARIO ORTEGA
8561 FENTON ST STE 230
SILVER SPRING, MD 20910-4455
Phone number: 301-565-9001
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Mailing Address
-- MARIO ORTEGA
8561 FENTON ST STE 230
SILVER SPRING, MD 20910-4455
Phone number: 301-565-9001
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