Individual
MR. DWAYNE BARRY WOMACK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M,A,
Contact information
Practice address
106 WEST ST APT A6, ROCKY HILL, CT 06067-3567
(860) 833-2341
Mailing address
106 WEST ST APT A6, ROCKY HILL, CT 06067-3567
(860) 833-2341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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