Individual
MARK ALLEN LIPTRAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MSW, LCSW
Contact information
Practice address
165 SCOTT AVE STE 208, MORGANTOWN, WV 26508-8847
(304) 292-1716
(304) 292-1766
Mailing address
165 SCOTT AVE STE 208, MORGANTOWN, WV 26508-8847
(304) 292-1716
(304) 292-1766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CP 00943030
WV
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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