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Individual

WYKENNA S VAILOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHS, ADT

Contact information

Practice address
11100 BILLINGSLEY RD, WALDORF, MD 20602-3400
(240) 754-6168
Mailing address
11100 BILLINGSLEY RD, WALDORF, MD 20602-3400
(240) 754-6168

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
06/14/2023
Last updated
06/15/2023
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