Individual
MRS. SYLVIA RENNINGS DISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
40 12TH ST, STE. 222, WHEELING, WV 26003-3279
(304) 232-0232
(304) 232-0035
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8663
(304) 234-8960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00453160
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001708589
MOUNTAIN STATE BLUE CROSS
WV
01
—
Y307981B
MAGELLAN
WV
Enumeration date
01/26/2007
Last updated
04/06/2022
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