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Individual

HALIE TOLBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
325 6TH AVE, SOUTH CHARLESTON, WV 25303-1231
(304) 720-3383
Mailing address
325 6TH AVE, SOUTH CHARLESTON, WV 25303-1231
(304) 720-3383

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/05/2024
Last updated
03/05/2024
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