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Individual
KATHERINE ROSE LAISHLEY
Active
Individual
KATHERINE ROSE LAISHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BP00945726
WV
101YM0800X
Mental Health Counselor
BP00945726
WV
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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