Individual
MR. JUSTIN LANKFORD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSC-AD PROVISIONAL
Contact information
Practice address
300 SCHEELER RD, CHESTERTOWN, MD 21620-1014
(410) 778-7055
(410) 778-7052
Mailing address
PO BOX 229, CHESTERTOWN, MD 21620-0229
(410) 778-7055
(410) 778-7052
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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