Individual
JACQUELYN LEE PERSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 JOHNSON STREET, HINTON, WV 25951-2595
(304) 575-0931
Mailing address
42 JOHNSON STREET, HINTON, WV 25951
(304) 575-0931
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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