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1972054393
BRANDON CLARK
COLUMBIA, MD
NPI
1972054393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD SC2296)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
Mr. BRANDON CLARK CSC-AD
8930 STANFORD BLVD SUITE M 100
COLUMBIA, MD 21045-5805
Phone number: 443-285-0807
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Mailing Address
Mr. BRANDON CLARK CSC-AD
8930 STANFORD BLVD SUITE M 100
COLUMBIA, MD 21045-5805
Phone number: 443-285-0807
Copy
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