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Certified Provider Details:
| PROVIDER NUMBER: |
490084 |
| AGENCY NAME: |
Mon County Council of Social Agencies |
| CONTACT NAME: |
Earl Sweet |
| ADDRESS: |
returned by PO no such box |
| CITY: |
Morgantown |
| STATE: |
WV |
| ZIP: |
26507 |
| PHONE: |
(304) 285-3120 |
| WEB SITE: |
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| EMAIL ADDRESS: |
|
| BSW/MSW NAME: |
Earl Sweet, Jr, MSW |
| DUE TO RECERTIFY DATE: |
7/1/2010 |
| COMMENTS: |
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