Individual
KATELIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, LSW
Contact information
Practice address
184 HOLIDAY HILLS DR, PARKERSBURG, WV 26104-8006
(304) 420-2400
Mailing address
63 E HICKORY ST, DAVISVILLE, WV 26142-8800
(304) 893-7530
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00946152
WV
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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