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Individual

PATRICIA A GORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LICSW

Contact information

Practice address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500
(304) 497-0516
Mailing address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 872-6503
(304) 872-5415

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CP00938611
WV
1041C0700X
Clinical Social Worker
DP00938611
WV

Other

Enumeration date
12/11/2006
Last updated
04/20/2022
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