Individual
TIA D MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2157 GREENBRIER ST, CHARLESTON, WV 25311-9623
(304) 344-5924
Mailing address
2157 GREENBRIER ST, CHARLESTON, WV 25311-9623
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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