Individual
ETHENA K PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3375 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 525-7851
(304) 525-1073
Mailing address
5600 US ROUTE 60, HUNTINGTON, WV 25705-2146
(304) 525-7851
(304) 525-1073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CP00944157
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005355002
—
WV
Enumeration date
01/17/2014
Last updated
01/17/2014
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