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Case Number and Status

Case Number: I-200-17065-506480

Submitted on:

CERTIFIED

on:

Employment

From: 2017-07-01

To: 2020-06-30 (1,095 days)

Address

4605 Maccorkle Avenue Sw
South Charleston, WV 25309

Phone

3047663573


Attorney Summary

Location
Detroit, MI

Job Summary

Job Title
Psychiatrist
City and State
South Charleston, WV
County
Kanawha

Soc Code
29-1066.00
Naics Code
Industry Code
622110