Individual
EMILY LAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 MACCORCKLE AVE SW SUITE F, SOUTH CHARLESTON, WV 25309
(304) 346-9717
Mailing address
160 CAMDEN CIR APT 302, SCOTT DEPOT, WV 25560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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