Individual
CHARLES R HOOVER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4625 ROUTE 152, LAVALETTE, WV 25535-4500
(304) 308-6074
Mailing address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00945763
WV
Other
Enumeration date
08/02/2023
Last updated
08/05/2023
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