Organization
CHILDREN'S THERAPY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALICIA LEARY (EXECUTIVE DIRECTOR)
(304) 342-9515
Entity
Organization
Contact information
Practice address
113 LAKEVIEW DR, CHARLESTON, WV 25313-1467
(304) 342-9515
(304) 342-9414
Mailing address
PO BOX 2707, CHARLESTON, WV 25330-2707
(304) 342-9515
(304) 342-9414
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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