WAYNE CHARLES

BALTIMORE, MD
NPI1174911366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2014-12-23
Last Update Date2014-12-23
Business Address
-- WAYNE CHARLES
21 W 25TH ST
BALTIMORE, MD 21218-5003
Phone number: 410-366-1717
Mailing Address
-- WAYNE CHARLES
21 W 25TH ST
BALTIMORE, MD 21218-5003
Phone number: 410-366-1717
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