Individual
VICTORIA LINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
300 FOXCROFT AVE STE 307, MARTINSBURG, WV 25401-5341
(304) 596-2390
Mailing address
300 FOXCROFT AVE STE 307, MARTINSBURG, WV 25401-5341
(304) 596-2390
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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