Individual
SONYA ANNETTA FULLER-CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LSW
Contact information
Practice address
330 HARPER PARK DR STE 1, BECKLEY, WV 25801-2643
(304) 256-0444
Mailing address
4834 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1340
(304) 346-9586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AP00938873
WV
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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