Individual
MRS. REBECCA RAE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
209 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 574-2100
Mailing address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7160
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1054
WV
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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