Individual
MICHELLE A LEGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3847 TEAYS VALLEY RD STE B, HURRICANE, WV 25526-9820
(304) 760-9945
(681) 235-7299
Mailing address
PO BOX 172, CULLODEN, WV 25510-0172
(304) 760-9945
(681) 235-7299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00816226
WV
Other
Enumeration date
07/17/2006
Last updated
11/06/2019
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