Square One Family Networks Corp.
NPI #1104228006 in Fairmont, West Virginia
Provider Information
- NPI Number
- 1104228006
- Entity Type
- Organization
- Organization Name
- Square One Family Networks Corp.
- Primary Specialty
- Case Management
- Enumeration Date
- Sep 23, 2014
- Last Updated
- Oct 8, 2014
Practice Location
- Address
- 1708 LOCUST AVE STE 201
- City
- Fairmont
- State
- West Virginia
- ZIP Code
- 26554-1332
- Phone
- (304) 694-7636
Authorized Official
- Name
- JAYME DAWN DODD, LSW
- Title
- OWNER, EXECUTIVE DIRECTOR
- Phone
- (304) 657-8943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
| Case Management |
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