Individual
JENNIFER ASHLEY REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1017 6TH AVE STE 11, HUNTINGTON, WV 25701-2348
(681) 378-2134
Mailing address
1017 6TH AVE STE 11, HUNTINGTON, WV 25701-2348
(681) 378-2134
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10209
SC
104100000X
Social Worker
Primary
DP00945023
WV
Other
Enumeration date
05/22/2013
Last updated
12/02/2019
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