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Individual
DALE VICTOR WAYMAN
Active
Individual
DALE VICTOR WAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000600A
IN
101YM0800X
Mental Health Counselor
Primary
39002265A
IN
Other
Enumeration date
07/29/2006
Last updated
03/19/2014
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