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Organization

STILLWATER CHRISTIAN COUNSELING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALFRED LUDWIG KASPROWICZ PH.D. (MANAGER SOLE PRACTITIONER)
(304) 329-1900
Entity
Organization

Contact information

Practice address
130 S PRICE ST, SUITE 204, KINGWOOD, WV 26537-1462
(304) 329-1900
(304) 329-1050
Mailing address
130 S PRICE ST, SUITE 204, KINGWOOD, WV 26537-1462
(304) 329-1900
(304) 329-1050

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0164483000
WV
Enumeration date
11/24/2006
Last updated
08/22/2020
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