Individual
KILEY RHAE BRESCOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 ICE ST, BARRACKVILLE, WV 26559
(304) 207-0087
Mailing address
PO BOX 995, BARRACKVILLE, WV 26559-0995
(304) 207-0087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
WV
1041C0700X
Clinical Social Worker
Primary
DP00945549
WV
Other
Enumeration date
08/20/2019
Last updated
03/27/2025
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