Individual
JESSICA STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
202 TUNNELTON ST, KINGWOOD, WV 26537-1452
(304) 296-1731
Mailing address
202 TUNNELTON ST, KINGWOOD, WV 26537-1452
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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