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Individual

MR. AARON M. VEDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
708 OLD HICKORY DR, FAIRMONT, WV 26554-8347
(304) 365-4396
Mailing address
708 OLD HICKORY DR, FAIRMONT, WV 26554-8347
(304) 365-4396

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00942777
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
908825
WV
Enumeration date
11/02/2021
Last updated
11/02/2021
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