Individual
MR. JEREMY KEVIN WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
6 HOSPITAL PLAZA, UNITED SUMMIT CENTER INC, CLARKSBURG, WV 26301
(304) 623-5661
(304) 623-2180
Mailing address
504 EMILY DR # 1028, CLARKSBURG, WV 26301-5507
(304) 627-1106
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
DP00944022
WV
Other
Enumeration date
04/20/2012
Last updated
06/01/2025
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