Individual
TOMMY VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 LEE ST, LOGAN, WV 25601-3019
(304) 807-6227
(304) 896-6147
Mailing address
204 LEE ST, LOGAN, WV 25601-3019
(304) 807-6227
(304) 896-6147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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