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1841905874
JONATHAN JACOB SKINNER
MARTINSBURG, WV
NPI
1841905874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-01-13
Last Update Date
2023-01-13
Business Address
JONATHAN JACOB SKINNER
1586 WINCHESTER AVE
MARTINSBURG, WV 25405-5013
Phone number: 304-707-5774
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Mailing Address
JONATHAN JACOB SKINNER
503 E RACE ST
MARTINSBURG, WV 25404-4440
Phone number: 304-707-5774
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