Individual
TERRI SHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 BOEING ST, BECKLEY, WV 25801-9206
(304) 890-7479
Mailing address
122 BOEING ST, BECKLEY, WV 25801-9206
(304) 890-7479
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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