| NPI | 1003287665 |
|---|---|
| Other Name | DWAYNE POOLE SEYMOUR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 090313) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 090313) |
| 106H00000X Marriage & Family Therapist (Licence: NY 090313) | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |