Individual
BETSY OUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1085 CANAAN HEIGHTS RD, DAVIS, WV 26260-8007
(304) 851-6643
(304) 362-0025
Mailing address
PO BOX 416, EDINBURG, VA 22824-0416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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