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1093899056
LILBURN H GARRISON
BRIDGEPORT, WV
NPI
1093899056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WV CP00454443)
Enumeration Date
2006-10-25
Last Update Date
2007-12-20
Business Address
-- LILBURN H GARRISON
243 W MAIN ST
BRIDGEPORT, WV 26330-1748
Phone number: 304-842-8852
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Mailing Address
-- LILBURN H GARRISON
243 W MAIN ST
BRIDGEPORT, WV 26330-1748
Phone number: 304-842-8822
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