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1225868292
KENNETH WAYNE WHITE
WALDORF, MD
NPI
1225868292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
KENNETH WAYNE WHITE
11100 BILLINGSLEY RD
WALDORF, MD 20602-3400
Phone number: 240-754-6118
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Mailing Address
KENNETH WAYNE WHITE
11100 BILLINGSLEY RD
WALDORF, MD 20602-3400
Phone number: 240-754-6118
Copy
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