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Certified Provider Details:
| PROVIDER NUMBER: | 490037 |
| AGENCY NAME: | Huntington VAMC |
| CONTACT NAME: | Michele J. Michael |
| ADDRESS: | 1540 Spring Valley Drive |
| CITY: | Huntington |
| STATE: | WV |
| ZIP: | 25704 |
| PHONE: | (304) 429-6741 ext. 3845 |
| WEB SITE: | |
| EMAIL ADDRESS: | Michele.Michael@med.va.gov |
| BSW/MSW NAME: | Julian Berry |
| DUE TO RECERTIFY DATE: | 7/1/2010 |
| COMMENTS: |