Individual
LEANN CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MORDINGTON AVE, CHARLES TOWN, WV 25414
(304) 728-9236
Mailing address
118 MABEL LANE, MARTINSBURG, WV 25404
(304) 274-0683
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
9300
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810008264
—
WV
Enumeration date
04/28/2008
Last updated
04/28/2008
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