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Individual
THERESA BISHOP
Active
Individual
THERESA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1677
WV
104100000X
Social Worker
AP00942059
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005489001
—
WV
05
—
0005489002
—
WV
Enumeration date
12/09/2015
Last updated
09/15/2025
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