Individual
MRS. BETTIE MARIE ABIGAYLE WILFONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LGSW
Contact information
Practice address
395 EMILY DR, CLARKSBURG, WV 26301-5505
(304) 460-5123
Mailing address
72 LLOYD AVE, CLARKSBURG, WV 26301-5686
(304) 695-2243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00945598
WV
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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