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1972989895
WILLIE DWAYNE DOCTOR
COLUMBIA, MD
NPI
1972989895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 20933)
Enumeration Date
2015-08-03
Last Update Date
2015-08-04
Business Address
-- WILLIE DWAYNE DOCTOR LGSW
7161 COLUMBIA GATEWAY DR STE A
COLUMBIA, MD 21046-2148
Phone number: 410-872-1050
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Mailing Address
-- WILLIE DWAYNE DOCTOR LGSW
7161 COLUMBIA GATEWAY DR STE A
COLUMBIA, MD 21046-2148
Phone number: 410-872-1050
Copy
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