Individual
WAYNE CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 OWINGS CT STE 8, REISTERSTOWN, MD 21136-3045
(410) 526-7100
Mailing address
100 OWINGS CT SUITE 8, REISTERTOWN, MD 21136
(410) 526-7100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA012
MD
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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