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Certified Provider Details:
| PROVIDER NUMBER: | 490067 |
| AGENCY NAME: | Pressley Ridge Schools |
| CONTACT NAME: | Terry Collins |
| ADDRESS: | Route 5 Box 697 |
| CITY: | Clarksburg |
| STATE: | WV |
| ZIP: | 26301 |
| PHONE: | (800) 457-7933 |
| WEB SITE: | www.pressleyridge.org |
| EMAIL ADDRESS: | Tcollins@pressleyridge.org |
| BSW/MSW NAME: | Terry Collins, MSW, LGSW |
| DUE TO RECERTIFY DATE: | 7/1/2010 |
| COMMENTS: |