Individual
ETHEL MARIE MUSICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW / LSW
Contact information
Practice address
327 MERCER ST, PRINCETON, WV 24740-3313
(304) 425-9489
(304) 487-1736
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 425-9541
(304) 425-1332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
AP00939573
WV
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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