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1851893374
DWAYNE ELVON JENKINS
CROWNSVILLE, MD
NPI
1851893374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD SC0671)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
Mr. DWAYNE ELVON JENKINS
2015 MARTINS GRANT CT
CROWNSVILLE, MD 21032-1932
Phone number: 410-721-6353
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Mailing Address
Mr. DWAYNE ELVON JENKINS
2015 MARTINS GRANT CT
CROWNSVILLE, MD 21032-1932
Phone number: 410-721-6353
Copy
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