JESSE C COULTER

CHARLESTON, WV
NPI1831236900
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801081315)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
JESSE C COULTER MSW
VET CENTER 521 CENTRAL AVE.
CHARLESTON, WV 25302
Phone number: 304-343-3825
Mailing Address
JESSE C COULTER MSW
RR 4 BOX 153
CHARLESTON, WV 25312-9325
Phone number: 304-549-3891
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