Individual
MS. KELSI MARIAH DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
120 HARPER CT, BECKLEY, WV 25801-2650
(304) 923-9167
Mailing address
PO BOX 561, FAIRDALE, WV 25839-0561
(304) 923-9167
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
F793709
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00506261436
—
WV
Enumeration date
02/03/2022
Last updated
03/11/2024
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