Organization
1-2-3 GROW LLC
Active
Organization
1-2-3 GROW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PAY MA, CCC/SLP (OWNER)
(304) 412-4246
Entity
Organization
Contact information
Practice address
624 SOUTH TER, HUNTINGTON, WV 25705-1511
(304) 412-4246
(304) 523-0044
Mailing address
624 SOUTH TER, HUNTINGTON, WV 25705-1511
(304) 412-4246
(304) 523-0044
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SLP-0802
WV
Other
Enumeration date
08/02/2008
Last updated
08/02/2008
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