Individual
FAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 VICTORIA DR., MARTINSBURG, WV 25404
(304) 681-2180
(304) 833-5274
Mailing address
37 VICTORIA DR., MARTINSBURG, WV 25404
(304) 681-2180
(304) 833-5274
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
APE0454008
WV
104100000X
Social Worker
APOO454008
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APE0454008
BOARD OF SOCIAL WORK
WV
Enumeration date
09/18/2015
Last updated
05/07/2021
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