Individual
IRMA ELLIS CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS ADT
Contact information
Practice address
1801 CHERRY HILL RD, BALTIMORE, MD 21230-3503
(410) 354-2800
(410) 354-2843
Mailing address
1801 CHERRY HILL RD, BALTIMORE, MD 21230-3503
(410) 354-2800
(410) 354-2843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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