Individual
JOSHUA LEE GWINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STATE CERTIFIED PRSS
Contact information
Practice address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(888) 736-3229
(304) 872-5415
Mailing address
802 OAK ST, KENOVA, WV 25530-1519
(304) 908-1056
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
21-968
WV
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
11/05/2024
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