Individual
KATHRYN JALAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 RHODODENDRON TRL, BECKLEY, WV 25801-9563
(304) 617-6482
Mailing address
115 RHODODENDRON TRL, BECKLEY, WV 25801-9563
(304) 617-6482
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
BP00944874
WV
222Q00000X
Developmental Therapist
Primary
—
WV
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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