Individual
JOE LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 GRAND PARK DR STE 203, PARKERSBURG, WV 26105-4049
(304) 422-9293
(304) 422-9294
Mailing address
417 GRAND PARK DR STE 203, PARKERSBURG, WV 26105-4049
(130) 442-2929
(304) 422-9294
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CPOO451583
WV
104100000X
Social Worker
Primary
CPOO451583
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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