Whalio Doctors

NPI 1013135482

Jeffrey Marshall Sprouse, MALSW

Practitioner Social Worker Charleston, WV

Practice location

Address
2157 Greenbrier St, Charleston, WV 25311-9623
Phone
(304) 344-5924
Fax
(304) 344-3503
Mailing address
2157 Greenbrier Street, Charleston, WV 25311

Registered specialties

Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence AP00940900 (WV)

Registry record

NPI
1013135482
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Apr 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.