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Individual

MRS. ALLISON MOYLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
46 TRIFECTA PL, SUITE 105, CHARLES TOWN, WV 25414-5652
(304) 725-4536
Mailing address
294 CROSSWINDS DR, CHARLES TOWN, WV 25414-3940

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/04/2015
Last updated
03/04/2015
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