Organization
SACRED CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA KAY CORBETT LICSW (SOCIAL WORKER)
(304) 790-0481
Entity
Organization
Contact information
Practice address
507 BURROUGHS ST STE 109, MORGANTOWN, WV 26505-3392
(304) 790-0481
Mailing address
41 STEPHANIE DR, BRUCETON MILLS, WV 26525-7189
(304) 790-0481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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