Individual
MISTY STAMBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 FOXCROFT AVE STE 104, MARTINSBURG, WV 25401-5302
(304) 513-3495
(800) 734-8498
Mailing address
134 W SIOUX LN, ROMNEY, WV 26757-1459
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00946975
WV
175T00000X
Peer Specialist
—
WV
Other
Enumeration date
06/27/2023
Last updated
09/04/2024
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