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Individual

CAROLONE C CARDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
235 S WATER ST, MARTINSBURG, WV 25401-4241
(304) 263-8954
(304) 264-0763
Mailing address
181 BURDETTE DR, MARTINSBURG, WV 25401-7314
(304) 262-1685

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BP00942782
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP00942782
LICENSE
WV
Enumeration date
02/05/2007
Last updated
07/08/2007
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