Individual
MR. JAMES NEIL DEMASTERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
508 E MAIN ST, SUITE 500, SALEM, VA 24153-4319
(877) 895-8674
Mailing address
4650 GARTH DR, SALEM, VA 24153-8458
(540) 380-2418
(540) 380-2419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005788
VA
1041C0700X
Clinical Social Worker
LCS10081
CA
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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