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1316954662
DALE WAYNE WILLIS
TOWSON, MD
NPI
1316954662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 06770)
Enumeration Date
2006-08-01
Last Update Date
2011-01-19
Business Address
Mr. DALE WAYNE WILLIS MSW
305 W CHESAPEAKE AVE STE 300
TOWSON, MD 21204-4440
Phone number: 410-828-6619
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Mailing Address
Mr. DALE WAYNE WILLIS MSW
143 LONG DR
ELKTON, MD 21921-3691
Phone number: 410-392-3171
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