Individual
MRS. BRENDA DIANE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
500 DONNALLY ST, CHARLESTON, WV 25301-1648
(304) 340-2222
Mailing address
500 DONNALLY ST, CHARLESTON, WV 25301-1648
(304) 340-2222
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-0027
WV
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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