Individual
MRS. TERESA ANN WYMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS-LSW
Contact information
Practice address
23 WABASH AVE, PHILIPPI, WV 26416-1262
(304) 457-1670
Mailing address
23 WABASH AVE, PHILIPPI, WV 26416-1262
(304) 457-1670
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00940619
WV
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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