Individual
JESSICA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
Mailing address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00942289
WV
Other
Enumeration date
06/10/2021
Last updated
07/18/2024
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