Individual
AUTUMN CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WEATHERHOLT DR, ONA, WV 25545-9306
(304) 743-3798
Mailing address
100 WEATHERHOLT DR, ONA, WV 25545-9306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
KY-2050
KY
235Z00000X
Speech-Language Pathologist
Primary
SLP-0599
WV
235Z00000X
Speech-Language Pathologist
SP.5582
OH
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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