Individual
VICKIE L SHUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500
Mailing address
PO BOX 253, CRAWLEY, WV 24931-0253
(304) 520-5061
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00945901
WV
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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