Individual
ELIZABETH ANNE NESTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
351 NEW RIVER RANCH DR, FAYETTEVILLE, WV 25840-6220
(304) 574-1058
Mailing address
139 2ND AVE, FAYETTEVILLE, WV 25840-1051
(917) 470-2587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
121197
NY
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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