Organization
SMALL WONDERS DEVELOPMENTAL SERVICES LLC
Active
Organization
SMALL WONDERS DEVELOPMENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA A. ZICKEFOOSE MA (OWNER, SPECIAL INSTRUCTOR)
(304) 613-8630
Entity
Organization
Contact information
Practice address
99 EDMISTON WAY, STE 201, BUCKHANNON, WV 26201-8916
(304) 613-8630
(304) 471-3441
Mailing address
99 EDMISTON WAY, STE 201, BUCKHANNON, WV 26201-8916
(304) 613-8630
(304) 471-3441
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
4954
WV
Other
Enumeration date
01/01/2012
Last updated
01/01/2012
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