Individual
EMILY LANDSEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
158 ACADEMY LANE, RT. 3, PENCE SPRINGS, WV 24962
(304) 445-7790
Mailing address
PO BOX 798, ALDERSON, WV 24910-0798
(304) 445-7790
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
082015581
WV
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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