Individual
MR. GARY WAYNE JARRELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
(304) 623-3461
Mailing address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00943245
WV
Other
Enumeration date
11/19/2008
Last updated
12/13/2012
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