Individual
WALTER FREDRICK SIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LICSW BCD
Contact information
Practice address
ROUTE 20, QUIET DELL, WV 26408
(304) 622-6404
(304) 622-6404
Mailing address
RR 2 BOX 233B, MOUNT CLARE, WV 26408-9719
(304) 622-6404
(304) 622-6404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00451601
WV
Other
Enumeration date
09/22/2005
Last updated
07/08/2007
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