Individual
DWAIN LEWIS WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9875 GOOD LUCK RD APT 11, LANHAM, MD 20706-3231
(202) 417-0521
Mailing address
9875 GOOD LUCK RD APT 11, LANHAM, MD 20706-3231
(202) 417-0521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
Primary
—
DC
Other
Enumeration date
03/09/2023
Last updated
07/10/2026
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