Individual
STEPHANIE LOUISE MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
Mailing address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00945637
WV
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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