Individual
VALERIE JANINE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
26 TURLEY ST, MADISON, WV 25130-1348
(304) 369-0016
Mailing address
26 TURLEY ST, MADISON, WV 25130-1348
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-9106
WV
Other
Enumeration date
08/25/2022
Last updated
11/30/2023
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