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1114627932
DWAIN LEWIS WATTS
LANHAM, MD
NPI
1114627932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-03-09
Last Update Date
2023-05-02
Business Address
DWAIN LEWIS WATTS
9875 GOOD LUCK RD APT 11
LANHAM, MD 20706-3231
Phone number: 202-417-0521
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Mailing Address
DWAIN LEWIS WATTS
9875 GOOD LUCK RD APT 11
LANHAM, MD 20706-3231
Phone number: 202-417-0521
Copy
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