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Individual

LINDA L WHITTAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
804 BROAD ST, SUMMERSVILLE, WV 26651-1796
(304) 872-2090
(304) 872-3590
Mailing address
1305 WEBSTER RD, SUMMERSVILLE, WV 26651-1125
(304) 872-6503
(304) 872-5415

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00940058
WV

Other

Enumeration date
04/17/2008
Last updated
04/17/2008
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