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Individual

MR. PHILLIP WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LGSW

Contact information

Practice address
448 LEONARD AVE, FAIRMONT, WV 26554-3843
(304) 366-7174
(304) 366-7419
Mailing address
301 SCOTT AVE, MORGANTOWN, WV 26508-8804
(304) 366-7174
(304) 366-7419

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00944528
WV

Other

Enumeration date
12/02/2014
Last updated
12/02/2014
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