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 Date2015-08-04
Business Address
WILLIE DWAYNE DOCTOR LGSW
7161 COLUMBIA GATEWAY DR STE A
COLUMBIA, MD 21046-2148
Phone number: 410-872-1050
Mailing Address
WILLIE DWAYNE DOCTOR LGSW
7161 COLUMBIA GATEWAY DR STE A
COLUMBIA, MD 21046-2148
Phone number: 410-872-1050
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