Developmental Evolution, LLC
NPI #1710391057 in Charles Town, West Virginia
Provider Information
- NPI Number
- 1710391057
- Entity Type
- Organization
- Organization Name
- Developmental Evolution, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 15, 2014
- Last Updated
- Jun 15, 2014
Practice Location
- Address
- 667 HUYETT RD
- City
- Charles Town
- State
- West Virginia
- ZIP Code
- 25414-5378
- Phone
- (304) 725-4160
Authorized Official
- Name
- MICHAEL SHOR, MSW
- Title
- MEMBER
- Phone
- (304) 725-4160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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