Individual
MELISSA PHOUTHAVONG FRANCIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 S HOMEWOOD DR, CHARLESTON, WV 25314-1719
(304) 541-0382
Mailing address
1106 S HOMEWOOD DR, CHARLESTON, WV 25314-1719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1245
WV
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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