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1861688053
TERRY JAMES CLARK
BALTIMORE, MD
NPI
1861688053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD SC0551)
Enumeration Date
2007-09-20
Last Update Date
2007-09-20
Business Address
-- TERRY JAMES CLARK CSC-AD
111 PARK AVE
BALTIMORE, MD 21201-3402
Phone number: 410-837-5533
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Mailing Address
-- TERRY JAMES CLARK CSC-AD
111 PARK AVE
BALTIMORE, MD 21201-3402
Phone number: 410-837-5533
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