Individual
MR. CASEY LYNN MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
501 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 744-4761
Mailing address
73 DOLARON LN, CHARLESTON, WV 25309-8111
(304) 421-5764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
WV-1381
WV
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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