Individual
MS. OLIVIA LEA SHUTTLEWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1659 HORNBECK RD, MORGANTOWN, WV 26508-4757
(304) 629-1779
Mailing address
1659 HORNBECK RD, MORGANTOWN, WV 26508-4757
(304) 629-1779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW013709
PA
1041C0700X
Clinical Social Worker
Primary
DP00453081
WV
Other
Enumeration date
09/05/2006
Last updated
08/27/2015
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