Individual
MS. MARY AMANDA WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
354 GIVENS LN, BERKELEY SPRINGS, WV 25411-6549
(304) 268-4782
Mailing address
354 GIVENS LN, BERKELEY SPRINGS, WV 25411-6549
(304) 268-4782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP02943348
WV
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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