RANDOLF REGAN

BALTIMORE, MD
NPI1962537100
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  AC0043)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
Mr. RANDOLF REGAN CAC-AD
9100 FRANKLIN SQUARE DR EATP
BALTIMORE, MD 21237-3903
Phone number: 410-887-6465
Mailing Address
Mr. RANDOLF REGAN CAC-AD
23 N BERNICE AVE
BALTIMORE, MD 21229-3712
Phone number: 410-967-0169
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