Individual
MRS. DEIDRE G DORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
511 MORRIS ST, CHARLESTON, WV 25301
(304) 341-0511
(304) 341-0197
Mailing address
PO BOX 4009, CHARLESTON, WV 25364-4009
(304) 348-1288
(304) 348-1262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00939207
WV
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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