Individual
MRS. KAREN MICHELE SANSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(304) 526-2077
(304) 526-4866
Mailing address
5509 HALE BRANCH RD, BARBOURSVILLE, WV 25504-9634
(304) 526-2077
(304) 526-4866
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0452
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154099000
—
WV
Enumeration date
04/04/2007
Last updated
07/08/2007
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