Individual
SHEILA BLACKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 CAPITOL ST RM 427, CHARLESTON, WV 25301-1757
(304) 312-6963
Mailing address
57016 MEHLMAN RD, BELLAIRE, OH 43906-9571
(304) 312-6963
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
L8H112200070
WV
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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