Individual
MRS. NANCY E SOTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1014 JOHNSTOWN ROAD, BECKLEY, WV 25801-4940
(304) 252-4433
(304) 252-1703
Mailing address
PO BOX 1128, 1014 JOHNSTOWN ROAD, BECKLEY, WV 25802-1128
(304) 252-4433
(304) 252-1703
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
436
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116820000
—
WV
05
—
3810004530
—
WV
Enumeration date
10/03/2006
Last updated
07/08/2007
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