Individual
CHASITY LOVE PLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1664 WINCHESTER AVE STE B, MARTINSBURG, WV 25405-3881
(304) 901-4347
(888) 596-2658
Mailing address
1664 WINCHESTER AVE STE B, MARTINSBURG, WV 25405-3881
(304) 901-4347
(888) 596-2658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00940183
WV
1041C0700X
Clinical Social Worker
BP00940183
WV
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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