Organization
JEFFERSON DAY REPORT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FRANKLIN (DIRECTOR)
(304) 728-3257
Entity
Organization
Contact information
Practice address
130 E BURR BLVD FL 1, KEARNEYSVILLE, WV 25430-4788
(304) 728-3527
(304) 728-3614
Mailing address
130 E BURR BLVD FL 1, KEARNEYSVILLE, WV 25430-4788
(304) 728-3527
(304) 728-3614
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
521
WV
1041C0700X
Clinical Social Worker
—
WV
Other
Enumeration date
04/29/2016
Last updated
09/11/2024
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