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1942616883
CLYDE CASEY
HYATTSVILLE, MD
NPI
1942616883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD LCA434)
Enumeration Date
2014-07-10
Last Update Date
2014-07-10
Business Address
-- CLYDE CASEY
1401 UNIVERSITY BLVD E
HYATTSVILLE, MD 20783-4029
Phone number: 301-434-4890
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Mailing Address
-- CLYDE CASEY
1401 UNIVERSITY BLVD E
HYATTSVILLE, MD 20783-4029
Phone number: 301-434-4890
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