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Individual
DR. WAYNE AGGREY BECKLES
Active
Individual
DR. WAYNE AGGREY BECKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07040
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2256011100
MEDICAL ASSISTANCE
MD
Enumeration date
12/23/2009
Last updated
03/21/2019
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