Individual
JESSICA CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 EB SAUNDERS WAY, CLARKSBURG, WV 26301-3712
(304) 624-6554
(304) 624-5223
Mailing address
1201 N 15TH ST, CLARKSBURG, WV 26301-1989
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
H4A137700344
WV
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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