Individual
MRS. MARY CATHERINE SMITH-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1540 SPRING VALLEY DR, ROOM 169, HUNTINGTON, WV 25704-9300
(304) 429-6741
(304) 926-8692
Mailing address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6741
(304) 926-8692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00938929
WV
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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