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Individual

MR. RICHARD LYNN COFFINBARGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LSW

Contact information

Practice address
510 BUTLER AVE, 6A-148, MARTINSBURG, WV 25405-9990
(304) 263-0811
(304) 264-3989
Mailing address
510 BUTLER AVE, 6A-148, MARTINSBURG, WV 25405-9990
(304) 263-0811
(304) 264-3989

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00942948
WV

Other

Enumeration date
10/19/2009
Last updated
10/19/2009
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