Individual
GARY W MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
235 S WATER ST, MARTINSBURG, WV 25401-4241
(304) 263-8954
Mailing address
235 S WATER ST, MARTINSBURG, WV 25401-4241
(304) 263-8954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
DP00939619
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023817001
—
WV
Enumeration date
10/05/2007
Last updated
10/05/2007
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