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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