JERRICA C STATEN

BRIDGEPORT, WV
NPI1477232957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: WV  SW062316664)
Enumeration Date2023-07-13
Last Update Date2023-07-13
Business Address
JERRICA C STATEN LGSW
120 PROFESSIONAL PL
BRIDGEPORT, WV 26330-4599
Phone number: 304-460-5123
Mailing Address
JERRICA C STATEN LGSW
437 BROADWAY AVE
BRIDGEPORT, WV 26330-1506
Phone number: 304-641-7677