Individual
DANIELLE STATELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
179 E BURR BLVD STE J, KEARNEYSVILLE, WV 25430-4964
(304) 268-9797
Mailing address
168 THOREAU DR, INWOOD, WV 25428-4299
(304) 268-9797
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP02943149
WV
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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