Individual
KIMBERLY LYNN JUSTICE-CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
58 16TH STREET, WHEELING, WV 26003
(304) 243-8437
(304) 243-8833
Mailing address
58 16TH STREET, WHEELING, WV 26003
(304) 243-8437
(304) 243-8833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
BP00942728
WV
1041C0700X
Clinical Social Worker
Primary
CP00942728
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259577
—
OH
Enumeration date
08/12/2010
Last updated
06/02/2020
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