Individual
JOLENA MICHELLE SLAUBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 SENECA TRL, EGLON, WV 26716-8045
(304) 698-5999
Mailing address
3109 SENECA TRL, EGLON, WV 26716-8045
(304) 698-5999
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1876
WV
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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