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Individual

BEVERLY J WHEATCRAFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
600 SHREWSBURY ST, BOX 8, CHARLESTON, WV 25301-1230
(304) 444-7086
(304) 965-3176
Mailing address
RR 5 BOX 289O, CHARLESTON, WV 25312-9605
(304) 444-7086
(304) 965-3176

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00940326
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001995674
MS BCBS
WV
05
3810008214
WV
Enumeration date
01/29/2007
Last updated
01/13/2009
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