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1780065193
NICOLE KEEFAUVER
MARTINSBURG, WV
NPI
1780065193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WV DP00943430)
Enumeration Date
2015-06-11
Last Update Date
2015-06-11
Business Address
NICOLE KEEFAUVER LICSW
99 TAVERN ROAD
MARTINSBURG, WV 25401
Phone number: 304-263-4999
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Mailing Address
NICOLE KEEFAUVER LICSW
PO BOX 1146
MARTINSBURG, WV 25402
Phone number: 304-263-4999
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