MR. Gary Lee Mcderment JR., PRSS
NPI #1477331163 in Kenova, West Virginia
Provider Information
- NPI Number
- 1477331163
- Entity Type
- Individual
- Name
- MR. Gary Lee Mcderment JR., PRSS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Credential
- PRSS
- Enumeration Date
- Sep 15, 2023
- Last Updated
- Feb 21, 2024
Practice Location
- Address
- 802 OAK ST
- City
- Kenova
- State
- West Virginia
- ZIP Code
- 25530-1519
- Phone
- (304) 908-1056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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