Individual
LISA CRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
138 WALL STREET, CHARLES TOWN, WV 25414
(304) 724-6099
Mailing address
PO BOX 788, CHARLES TOWN, WV 25414-0788
(304) 724-6099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW51613527
WV
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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