Individual
JUSTIN THOMAS MUSILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
24 4TH ST, MCMECHEN, WV 26040-1005
(304) 312-8334
Mailing address
24 4TH ST, MCMECHEN, WV 26040-1005
(304) 312-8334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129229
PA
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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