Individual
PAIGE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KENTON DR STE 200, CHARLESTON, WV 25311-1256
(304) 408-3292
Mailing address
851 SWEET ACRES DR, SAINT ALBANS, WV 25177-3930
(304) 807-8196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
806
WV
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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