Individual
NICOLE STOLZENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 SCOTT AVE, MORGANTOWN, WV 26508-8847
(304) 292-1716
Mailing address
165 SCOTT AVE, MORGANTOWN, WV 26508-8847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW12803
PA
1041C0700X
Clinical Social Worker
Primary
BP00943566
WV
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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