Individual
SARAH TOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 MADISON AVE, SPENCER, WV 25276-1930
(304) 927-6405
Mailing address
802 MADISON AVE, SPENCER, WV 25276-1930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9400183000
—
WV
Enumeration date
04/10/2008
Last updated
04/10/2008
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