Individual
MS. DEBORAH ROYALTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
199 BRANNON LN, CHARLES TOWN, WV 25414-4736
(304) 728-0191
Mailing address
199 BRANNON LN, CHARLES TOWN, WV 25414-4736
(304) 728-0191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
DP00939078
WV
1041C0700X
Clinical Social Worker
Primary
DP00939078
WV
Other
Enumeration date
02/17/2015
Last updated
01/27/2020
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