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Certified Provider Details:
| PROVIDER NUMBER: | 490092 |
| AGENCY NAME: | APS Healthcare, Inc. |
| CONTACT NAME: | Helen Snyder |
| ADDRESS: | 100 Capitol Street, Suite 600 |
| CITY: | Charleston |
| STATE: | WV |
| ZIP: | 25301 |
| PHONE: | (304) 343-9663 |
| WEB SITE: | www.apshealthcare.com |
| EMAIL ADDRESS: | hcsnyder@apshealthcare.com |
| BSW/MSW NAME: | Caroline Duckworth, MSW |
| DUE TO RECERTIFY DATE: | 7/1/2011 |
| COMMENTS: |