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Organization

PATCHWORK THERAPY AND GROWTH CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA KIRK-MCCOMAS MSW, LICSW (OWNER)
(304) 802-4769
Entity
Organization

Contact information

Practice address
4766 US ROUTE 60 UNIT B, HUNTINGTON, WV 25705-1940
(304) 802-4769
(304) 318-7183
Mailing address
PO BOX 485, WAYNE, WV 25570-0485
(304) 802-4769
(304) 318-7183

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/01/2021
Last updated
08/13/2022
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