Individual
TAMMY MICHELLE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
(304) 623-3461
Mailing address
RT. 6 BOX 184, CLARKSBURG, WV 26301
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00940933
WV
Other
Enumeration date
09/28/2006
Last updated
08/06/2020
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