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Individual

KATHRYN CARESSE SHIFFLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
397 MID ATLANTIC PKWY STE 1, MARTINSBURG, WV 25404-7468
(304) 267-3997
(304) 267-5882
Mailing address
282 OLD MARTINSBURG RD, SHEPHERDSTOWN, WV 25443-4640
(304) 886-0555
(304) 471-2488

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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