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Organization

SQUARE ONE FAMILY NETWORKS CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAYME DAWN DODD LSW (OWNER, EXECUTIVE DIRECTOR)
(304) 694-7636
Entity
Organization

Contact information

Practice address
1708 LOCUST AVE STE 201, FAIRMONT, WV 26554-1332
(304) 694-7636
(888) 977-2130
Mailing address
1708 LOCUST AVE STE 201, FAIRMONT, WV 26554-1332
(304) 694-7636
(888) 977-2130

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
AP00944042
WV

Other

Enumeration date
10/17/2014
Last updated
10/17/2014
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