MR. Justin Lankford White, CSC-AD PROVISIONAL

NPI #1063843639 in Chestertown, Maryland

Provider Information

NPI Number: 1063843639
Entity Type: Individual
Name: MR. Justin Lankford White, CSC-AD PROVISIONAL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: CSC-AD PROVISIONAL
Enumeration Date: Dec 9, 2013
Last Updated: Dec 9, 2013

Practice Location

Address: 300 SCHEELER RD
City: Chestertown
State: Maryland
ZIP Code: 21620-1014
Phone: (410) 778-7055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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