TERRY JAMES CLARK

BALTIMORE, MD
NPI1861688053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  SC0551)
Enumeration Date2007-09-20
Last Update Date2007-09-20
Business Address
-- TERRY JAMES CLARK CSC-AD
111 PARK AVE
BALTIMORE, MD 21201-3402
Phone number: 410-837-5533
Mailing Address
-- TERRY JAMES CLARK CSC-AD
111 PARK AVE
BALTIMORE, MD 21201-3402
Phone number: 410-837-5533
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