Individual
MRS. HANNAH RAE SITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1539 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 363-8479
Mailing address
1539 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 363-8479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1310
WV
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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