Individual
MR. ROBERT CLINTON FUNK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
207 FAIRMONT AVE, FAIRMONT, WV 26554-2710
(304) 698-1877
Mailing address
207 FAIRMONT AVE, FAIRMONT, WV 26554-2710
(681) 404-6869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00945812
WV
Other
Enumeration date
04/03/2019
Last updated
01/24/2024
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