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General NPI Number Information
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NPI Number | 1972648277
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Entity Type | Individual
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Provider Name | MARY-CLAIRE A BRETT M.S. LCADC
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5 N MAIN ST
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City | BEL AIR
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State | MD
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Zip | 21014-8895
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Country | US
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Telephone | 410-879-6988
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Fax | 410-879-2199
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Provider Business Mailing Address
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Address Line | 204 OAK LEAF CIR APT E
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City | ABINGDON
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State | MD
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Zip | 21009-2947
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Country | US
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Telephone | 410-515-1615
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Fax | 410-879-2199
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCA003
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License Number State | MD
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