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Individual

JAMIE STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW, LSW

Contact information

Practice address
3776 MOUNTAINEER HIGHWAY, MABEN, WV 25870
(304) 294-5610
Mailing address
PO BOX 835, MULLENS, WV 25882-0835
(304) 294-5610

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AP00941288
WV

Other

Enumeration date
12/22/2020
Last updated
12/30/2020
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