Individual
EDWARD LEE WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
111 FAYETTE AVE., FAYETTE COUNTY SCHOOLS, FAYETTEVILLE, WV 25840
(304) 574-1176
(304) 574-3643
Mailing address
304 CIRCLE ST, BECKLEY, WV 25801-3212
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
21009
WV
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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