Individual
LYNN SUZANNE ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1418 MACCORKLE AVE SW STE A, CHARLESTON, WV 25303-1331
(304) 348-1419
(304) 348-1017
Mailing address
1418 MACCORKLE AVE SW STE A, CHARLESTON, WV 25303-1331
(304) 348-1419
(304) 348-1017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00940461
WV
Other
Enumeration date
02/21/2012
Last updated
02/22/2012
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