Individual
DWAYNE F MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 GEORGE ST # 6, SUITE E-F, BECKLEY, WV 25801-2648
(304) 256-0200
(304) 256-0380
Mailing address
130 GEORGE ST # 6, SUITE E-F, BECKLEY, WV 25801-2648
(304) 256-0200
(304) 256-0380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AP00940097
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP00940097
SOCIAL WORK
WV
Enumeration date
07/08/2008
Last updated
07/08/2008
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