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1710636055
JOSHUA LEE GWINN
SUMMERSVILLE, WV
NPI
1710636055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
175T00000X Peer Specialist
(Licence: WV 21-968)
Enumeration Date
2022-03-23
Last Update Date
2024-11-05
Business Address
JOSHUA LEE GWINN State Certified PRSS
131 WELLNESS DR
SUMMERSVILLE, WV 26651-5402
Phone number: 888-736-3229
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Mailing Address
JOSHUA LEE GWINN State Certified PRSS
802 OAK ST
KENOVA, WV 25530-1519
Phone number: 304-908-1056
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