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1992856116
MARK J MAHAN
WILMINGTON, DE
NPI
1992856116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
-- MARK J MAHAN
2814 W 2ND ST
WILMINGTON, DE 19805-1807
Phone number: 302-472-0381
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Mailing Address
-- MARK J MAHAN
2814 W 2ND ST
WILMINGTON, DE 19805-1807
Phone number: 302-472-0381
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