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Jeana Marie Squires, LCSW

Social Worker, Clinical in Martinsburg, WV. Individual provider (NPI-1).

NPI number1164093506
StatusActive
Last updated in NPPESOct 16, 2024

Details

NPI
1164093506
Entity type
Individual (NPI-1)
Name
Jeana Marie Squires
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2021
Certification date
Oct 16, 2024
Last updated
Oct 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical0904013028–Yes

Practice location

520 S Raleigh St
Martinsburg, WV 25401-2642

Phone 304-262-9831

Mailing address

130 Carriebrooke Dr
Stephens City, VA 22655-6000

Phone 540-486-4653 · Fax 540-486-4709

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