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Organization
MARK I. SEGAL, LLC
Active
Organization
MARK I. SEGAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK I. SEGAL (OWNER)
(443) 292-4164
Entity
Organization
Contact information
Practice address
931 TRURO LN, CROFTON, MD 21114-1203
(443) 292-4164
Mailing address
931 TRURO LN, CROFTON, MD 21114-1203
(443) 292-4164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11838
MD
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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