Individual
KEVIN SERIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
87 15TH ST, WHEELING, WV 26003-3548
(304) 233-9627
Mailing address
87 15TH ST, WHEELING, WV 26003-3548
(304) 233-9627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00940586
WV
Other
Enumeration date
06/02/2022
Last updated
06/09/2022
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