Individual
CONNIE SUE HARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ONE BAKER PLACE, MINERAL COUNTY BOARD OF EDUCATION, KEYSER, WV 26726
(304) 788-4200
Mailing address
65 NIGHTINGALE STREET, KEYSER, WV 26726
(304) 788-4200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1589
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155254000
—
WV
Enumeration date
04/18/2008
Last updated
04/18/2008
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