Individual
BETSY COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
273 SKIDMORE LN, SUTTON, WV 26601-9272
(304) 765-4400
(304) 765-0354
Mailing address
273 SKIDMORE LN, SUTTON, WV 26601-9272
(304) 765-4400
(304) 765-0354
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
DP00945368
WV
Other
Enumeration date
07/11/2018
Last updated
11/14/2022
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