Individual
CHERIE DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 POSSUM HOLLOW TRL, GERRARDSTOWN, WV 25420-3149
(304) 240-0734
Mailing address
818 POSSUM HOLLOW TRL, GERRARDSTOWN, WV 25420-3149
(304) 240-0734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
WV
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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