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Individual

DEBORAH ROLSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
802 MADISON AVE, SPENCER, WV 25276-1930
(304) 927-6405
Mailing address
802 MADISON AVE, SPENCER, WV 25276-1930

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0165924000
WV
Enumeration date
04/10/2008
Last updated
04/10/2008
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