Individual
MRS. KAYLA RENEE GROGG MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
425 INDUSTRIAL AVE STE 201, MORGANTOWN, WV 26505-2287
(304) 914-1942
Mailing address
101 SUMMITS RDG, MORGANTOWN, WV 26508-8404
(304) 820-5620
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00945167
WV
1041C0700X
Clinical Social Worker
DP00945167
WV
Other
Enumeration date
02/06/2019
Last updated
08/11/2021
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