Individual
DUSTIN WAYNE DILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
65 PROFESSIONAL PL STE 102&103, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Mailing address
65 PROFESSIONAL PL STE 102&103, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
DP00945962
WV
Other
Enumeration date
05/18/2021
Last updated
02/21/2024
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