Individual
MS. MARY JO CECIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 BROOKSHIRE LN, BECKLEY, WV 25801-6729
(304) 894-8930
(681) 207-7058
Mailing address
209 BROOKSHIRE LN, BECKLEY, WV 25801-6729
(304) 894-8930
(681) 207-7058
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1233
WV
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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