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Individual

MRS. ALICIA DAWN LETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MACCC SLP

Contact information

Practice address
105 ADAIR ST, RALEIGH COUNTY BOARD OF EDUCATION, BECKLEY, WV 25801
(304) 256-4500
(304) 256-4739
Mailing address
101 SOURWOOD LN, DANIELS, WV 25832
(304) 763-3082

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
WV SLP 0580
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7402230000
WV
Enumeration date
01/24/2008
Last updated
01/24/2008
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