Individual
LAUREN PAVLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 FAYETTE ST APT 206, MORGANTOWN, WV 26505-5999
(304) 381-3659
Mailing address
PO BOX 434, DELLSLOW, WV 26531-0434
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2687
WV
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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