DWAYNE ELVON JENKINS

CROWNSVILLE, MD
NPI1851893374
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  SC0671)
Enumeration Date2018-02-28
Last Update Date2018-02-28
Business Address
Mr. DWAYNE ELVON JENKINS
2015 MARTINS GRANT CT
CROWNSVILLE, MD 21032-1932
Phone number: 410-721-6353
Mailing Address
Mr. DWAYNE ELVON JENKINS
2015 MARTINS GRANT CT
CROWNSVILLE, MD 21032-1932
Phone number: 410-721-6353
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