Individual
SHAWNA JUNE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 BROAD ST, SUMMERSVILLE, WV 26651-1796
(304) 872-2090
(304) 872-3590
Mailing address
1305 WEBSTER RD, SUMMERSVILLE, WV 26651-1125
(304) 872-6503
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427426329
—
WV
Enumeration date
01/09/2018
Last updated
01/09/2018
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