Individual
PAMELA SUE BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4485 WV HIGHWAY 47 W, COXS MILLS, WV 26342-8115
(304) 804-2185
Mailing address
4485 WV HIGHWAY 47 W, COXS MILLS, WV 26342-8115
(304) 804-2185
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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