Individual
ANDREW HOWARD PROSKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
322 CROOKED RUN RD, FAYETTEVILLE, WV 25840-6745
(304) 890-3419
Mailing address
322 CROOKED RUN RD, FAYETTEVILLE, WV 25840-6745
(304) 890-3419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00946692
WV
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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