Individual
JOSHUA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
120 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330-4599
(304) 460-5123
Mailing address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(508) 663-3852
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW042415803
WV
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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