Individual
MR. SAM JAMES HEFLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
905 MERCER ST, PRINCETON, WV 24740-2909
(304) 425-5653
(304) 425-2837
Mailing address
805 PARK AVE, PRINCETON, WV 24740-2007
(304) 425-6399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP0080265
WV
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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