Individual
LILBURN H GARRISON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 W MAIN ST, BRIDGEPORT, WV 26330-1748
(304) 842-8852
(304) 842-8853
Mailing address
243 W MAIN ST, BRIDGEPORT, WV 26330-1748
(304) 842-8822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CP00454443
WV
Other
Enumeration date
10/25/2006
Last updated
12/20/2007
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