Individual
WENDY G ETZKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
104 STATION PLACE WAY, APPALACHIAN FAMILY MEDICINE, HURRICANE, WV 25526
(304) 757-7788
(304) 201-1140
Mailing address
8 STONEGATE DRIVE, HURRICANE, WV 25526
(304) 545-8629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00454495
WV
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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