Individual
MARISSA BETH TOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
390 BIRCH ST, MORGANTOWN, WV 26505-9042
(304) 598-4214
Mailing address
65 PROFESSIONAL PL STE 102, BRIDGEPORT, WV 26330-0259
(304) 848-5770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00945690
WV
Other
Enumeration date
05/18/2020
Last updated
07/17/2024
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