Individual
MISS ELIZABETH MARIE LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
103 MARCLEY DR, MARTINSBURG, WV 25401-2977
(304) 263-0964
Mailing address
103 MARCLEY DR, MARTINSBURG, WV 25401-2977
(304) 263-0964
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904014127
VA
1041C0700X
Clinical Social Worker
Primary
DP00944732
WV
Other
Enumeration date
06/29/2017
Last updated
01/04/2023
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