KENNETH WAYNE WHITE

WALDORF, MD
NPI1225868292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-08-05
Last Update Date2024-08-05
Business Address
KENNETH WAYNE WHITE
11100 BILLINGSLEY RD
WALDORF, MD 20602-3400
Phone number: 240-754-6118
Mailing Address
KENNETH WAYNE WHITE
11100 BILLINGSLEY RD
WALDORF, MD 20602-3400
Phone number: 240-754-6118