Individual
MRS. JESSICA GLADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSWLSW
Contact information
Practice address
510 WASHINGTON ST W, CHARLESTON, WV 25302-2036
(304) 344-9834
(304) 344-1756
Mailing address
PO BOX 20580, CHARLESTON, WV 25362-1580
(304) 344-9834
(304) 344-1756
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AP00944357
WV
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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