NPI 1063843068

Jessica Gladwell, BSWLSW

Practitioner Case Manager/Care Coordinator Charleston, WV

Practice location

Address: 510 Washington St W, Charleston, WV 25302-2036
Phone: (304) 344-9834
Fax: (304) 344-1756
Mailing address: PO Box 20580, Charleston, WV 25362-1580

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence AP00944357 (WV)

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Registry record

NPI: 1063843068
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2013
Record last updated: 2 Dec 2013

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.