Individual
PHYLLIS DAMRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5185 US-60 STE 29, HUNTINGTON, WV 25705
(304) 453-4663
Mailing address
2126 JEFFERSON AVE, HUNTINGTON, WV 25704-2129
(304) 840-1901
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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