Individual
MIRIAM BEALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3136 DOUBLE CAMP RD, SALEM, WV 26426-5128
(304) 991-3120
(304) 782-2437
Mailing address
3136 DOUBLE CAMP RD, SALEM, WV 26426-5128
(304) 991-3120
(304) 782-2437
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
478332
WV
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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