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Individual

MRS. BEVERLY JEAN WYATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW,LSW

Contact information

Practice address
RRT 10 MAIN STREET, PINEVILLE, WV 24874-0123
(304) 732-9132
(304) 732-6589
Mailing address
RRT 10 MAIN STREET, P.O. BOX 123, PINEVILLE, WV 24874-0123
(304) 732-9132
(304) 732-6589

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00939569
WV

Other

Enumeration date
03/19/2007
Last updated
07/09/2007
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