Individual
STEPHANIE MENDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
333 N JEFFERSON ST, LEWISBURG, WV 24901-1116
(304) 645-7503
(304) 645-7582
Mailing address
333 N JEFFERSON ST, LEWISBURG, WV 24901-1116
(304) 645-7503
(304) 645-7582
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CP00814139
WV
Other
Enumeration date
08/16/2006
Last updated
07/09/2008
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