Individual
MRS. DEANNA MICHELLE CLARKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, LSW
Contact information
Practice address
6162 THORNTON PIKE, THORNTON, WV 26440-7407
(304) 612-9090
Mailing address
6162 THORNTON PIKE, THORNTON, WV 26440-7407
(304) 612-9090
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
AP00938645
WV
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
08/01/2024
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