Individual
MRS. EDITH JACQUELINE HARTSOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
PO BOX 204, GHENT, WV 25843-0204
(304) 787-4406
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00213502
WV
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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