Individual
STEPHANIE ABRA BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 COMMERCE AVE, HUNTINGTON, WV 25701-1611
(304) 525-8014
(304) 522-0013
Mailing address
1402 COMMERCE AVE, HUNTINGTON, WV 25701-1611
(304) 525-8014
(304) 522-0013
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WV
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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