Individual
NICHOLAS TRIETSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
142 N QUEEN ST STE 105, MARTINSBURG, WV 25401-3312
(304) 579-1515
(304) 254-6206
Mailing address
817 W MARTIN ST, MARTINSBURG, WV 25401-2310
(301) 792-1081
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BP00944163
WV
1041C0700X
Clinical Social Worker
Primary
BP00944163
WV
Other
Enumeration date
04/07/2014
Last updated
04/05/2018
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