Individual
STEPHANIE MAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
1596 WASHINGTON BLVD, HUNTINGTON, WV 25701-4035
(606) 207-2741
Mailing address
PO BOX 474, CEREDO, WV 25507-0474
(606) 207-2741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00944911
WV
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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