Individual
MRS. TANEISHA NICOLE POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1313 QUARRIER ST STE B, CHARLESTON, WV 25301-6002
(304) 981-1412
Mailing address
1313 QUARRIER ST STE B, CHARLESTON, WV 25301-6002
(304) 981-1412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WV
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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