Individual
MICHAEL D CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADT
Contact information
Practice address
1401 MADISON PARK DR STE 100A, GLEN BURNIE, MD 21061-6140
(410) 999-0891
Mailing address
7610 FAIRBANKS CT, HANOVER, MD 21076-1638
(443) 340-4803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT3733
MD
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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