Most Relevant Information
Provider Data
| NPI Number: | 1003405135 |
| Provider Name: | RAY LIAM KENDALL LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | BP00945318 |
Most Important Dates
| Enumeration Date: | 01/13/2021 |
| Last Updated: | 07/19/2023 |
Provider Practice Location
111 PARK VIEW LANE
SUITE 204
WHEELING
WV
26003
Practice Location Phone/Fax
| Phone: | 3045592383 |
| Fax: |
Provider Mailing Location
111 PARK VIEW LANE
SUITE 204
WHEELING
WV
26003
Provider Mailing Phone/Fax
| Phone: | 3045592383 |
| Fax: |