Individual
REBECCA A BRENWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241
(304) 637-3948
(304) 637-3435
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
(304) 637-3435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00944574
WV
Other
Enumeration date
06/05/2018
Last updated
06/20/2018
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