Individual
STEPHANIE DIANE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 ROCKLICK BRANCH ROAD, CHAPMANVILLE, WV 25508-7647
(304) 784-8709
(304) 855-8709
Mailing address
110 ROCKLICK BRANCH ROAD, CHAPMANVILLE, WV 25508-7647
(304) 784-8709
(304) 855-8709
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
E616032
WV
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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