WILLIE DWAYNE DOCTOR

COLUMBIA, MD
NPI1972989895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  20933)
Enumeration Date2015-08-03
Last Update Date2025-02-24
Business Address
WILLIE DWAYNE DOCTOR LCSW-C
9002 PHILLIP DORSEY WAY
COLUMBIA, MD 21045-5149
Phone number: 301-920-4514
Mailing Address
WILLIE DWAYNE DOCTOR LCSW-C
PO BOX 6211
COLUMBIA, MD 21045-6211
Phone number: 301-920-4514