Organization
LISA C PAUL, LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA CAROL PAUL MSW; LICSW (OWNER/CLINICAL THERAPIST)
(304) 319-0466
Entity
Organization
Contact information
Practice address
5000 GREENBAG RD STE E7, MORGANTOWN, WV 26501-7123
(304) 319-0466
Mailing address
5 PALMETTO DR, MORGANTOWN, WV 26508-8003
(304) 319-0466
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
DP00942479
WV
Other
Enumeration date
05/12/2013
Last updated
05/12/2013
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