TOMMY VANCE

LOGAN, WV
NPI1053855627
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2016-12-15
Last Update Date2016-12-15
Business Address
-- TOMMY VANCE
204 LEE ST
LOGAN, WV 25601-3019
Phone number: 304-807-6227
Mailing Address
-- TOMMY VANCE
204 LEE ST
LOGAN, WV 25601-3019
Phone number: 304-807-6227
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