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1760806749
WAYNE CLEMONS
REISTERSTOWN, MD
NPI
1760806749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD lca012)
Enumeration Date
2014-02-11
Last Update Date
2014-02-11
Business Address
-- WAYNE CLEMONS
100 OWINGS CT STE 8
REISTERSTOWN, MD 21136-3045
Phone number: 410-526-7100
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Mailing Address
-- WAYNE CLEMONS
100 OWINGS CT SUITE 8
REISTERTOWN, MD 21136
Phone number: 410-526-7100
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