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1000 Johnstown Rd Beckley WV 25801-4940 | |
| (304) 252-8220 | |
| (304) 254-8711 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 1000 Johnstown Rd, Beckley, West Virginia |
| Authorized Official Name and Position | Melody A Baringer (TEAM LEADER) |
| Authorized Official Contact | 3042528220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1000 Johnstown Rd Beckley WV 25801-4940 Ph: (304) 252-8220 | 1000 Johnstown Rd Beckley WV 25801-4940 Ph: (304) 252-8220 |
| NPI Number | 1851551204 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851551204 | NPI | - | NPPES |
| AP00942028 | Other | WV | WV SOCIAL WORK LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | AP00942028 (West Virginia) | Primary |
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