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Individual

TANIA MARIE CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
7232 GERMAN HILL RD, DUNDALK, MD 21222-1260
(410) 282-6310
Mailing address
2976 RAKING LEAF DR, ABINGDON, MD 21009-2643

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03841
MD

Other

Enumeration date
04/04/2007
Last updated
07/08/2007
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