Individual
MS. MARLENA CHESTNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
200 WEESE ST, ELKINS, WV 26241-3758
(304) 637-1002
Mailing address
PO BOX 290, HARMAN, WV 26270-0290
(304) 227-4750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00943655
WV
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/10/2011
Last updated
10/16/2020
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