Individual
MALACHI K ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 BULLSKIN ST, CHARLES TOWN, WV 25414-5434
(304) 616-0997
(304) 245-6125
Mailing address
84 BULLSKIN ST, CHARLES TOWN, WV 25414-5434
(304) 616-0997
(304) 245-6125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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