Most Relevant Information
Provider Data
| NPI Number: | 1003555863 |
| Provider Name: | JENNIFER HARTLEY LGSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | BP00943967 |
Most Important Dates
| Enumeration Date: | 05/31/2022 |
| Last Updated: | 05/31/2022 |
Provider Practice Location
40 SHUMILOFF LN
MORGANTOWN
WV
265017805
Practice Location Phone/Fax
| Phone: | 1304276608 |
| Fax: |
Provider Mailing Location
40 SHUMILOFF LN
MORGANTOWN
WV
265017805
Provider Mailing Phone/Fax
| Phone: | 1304276608 |
| Fax: |