Individual
NICOLE KEEFAUVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
99 TAVERN ROAD, MARTINSBURG, WV 25401
(304) 263-4999
Mailing address
PO BOX 1146, MARTINSBURG, WV 25402
(304) 263-4999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00943430
WV
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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