Individual
BLAYRE MARYLYNN HAMLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 ERSKINE LN, SCOTT DEPOT, WV 25560-7842
(681) 235-7211
(681) 235-7221
Mailing address
33 ERSKINE LN, SCOTT DEPOT, WV 25560-7842
(681) 235-7211
(681) 235-7221
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WV
106S00000X
Behavior Technician
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/11/2019
Last updated
02/07/2021
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