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Individual

CHARLES NORMAN REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1020 GROSSCUP AVE, DUNBAR, WV 25064-3128
(304) 766-7336
(304) 525-1073
Mailing address
1020 GROSSCUP AVE, DUNBAR, WV 25064-3128
(304) 766-7336
(304) 525-1073

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00451774
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005355002
WV
Enumeration date
03/05/2008
Last updated
03/05/2008
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