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1891537908
BRANDON CLARK
BALTIMORE, MD
NPI
1891537908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MD ADT3350)
Enumeration Date
2024-06-10
Last Update Date
2024-06-13
Business Address
BRANDON CLARK
3310 EASTERN AVE
BALTIMORE, MD 21224-4108
Phone number: 667-239-5502
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Mailing Address
BRANDON CLARK
8127 EVENING STAR DR UNIT 251
PASADENA, MD 21122-2487
Phone number: 443-980-5236
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