Individual
MICHELLE WAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1322 LOCUST AVE, FAIRMONT, WV 26554-1436
(304) 366-0700
(304) 366-9529
Mailing address
1322 LOCUST AVE, FAIRMONT, WV 26554-1436
(304) 366-0700
(304) 366-9529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CP006944505
WV
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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