Individual
MS. LISA CAROLINE VANSISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 SAVANNAH ST, MORGANTOWN, WV 26501-4025
(717) 682-5425
Mailing address
24 SAVANNAH ST, MORGANTOWN, WV 26501-4025
(717) 682-5425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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