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1154007573
WILSON SHADWELL SMITH
BECKLEY, WV
NPI
1154007573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
WILSON SHADWELL SMITH
25 MALLARD COURT
BECKLEY, WV 25801
Phone number: 304-255-7526
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Mailing Address
WILSON SHADWELL SMITH
1565 PLUTO ROAD
SHADY SPRING, WV 25918
Phone number: 304-719-9144
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