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1487032793
STANLEY LANE
CLARKSBURG, WV
NPI
1487032793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: WV AP00944271)
Enumeration Date
2015-05-07
Last Update Date
2015-05-07
Business Address
-- STANLEY LANE L.S.W.
6 HOSPITAL PLZ
CLARKSBURG, WV 26301-9316
Phone number: 304-623-5661
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Mailing Address
-- STANLEY LANE L.S.W.
6 HOSPITAL PLZ
CLARKSBURG, WV 26301-9316
Phone number: 304-623-5661
Copy
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