Individual
KELLY M. VALLANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS NCSP
Contact information
Practice address
48 EB SAUNDERS WAY, CLARKSBURG, WV 26302-1370
(304) 624-6554
(304) 624-5223
Mailing address
PO BOX 1370, CLARKSBURG, WV 26302-1370
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4144
WV
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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