Individual
TERRY LYNN CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
207 FAIRMONT AVE, SUITE 2, FAIRMONT, WV 26554-2859
(304) 363-4265
Mailing address
1129 MORNINGSTAR LN, FAIRMONT, WV 26554-1413
(304) 657-0007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00943687
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12332461
CAQH
WV
Enumeration date
12/06/2011
Last updated
04/07/2014
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