Individual
KAREN MARIE MATHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SP
Contact information
Practice address
510 ASHBY STREET, HARDY COUNTY BOARD OF EDUCATON, MOOREFIELD, WV 26836
(304) 530-2348
Mailing address
513 ASHBY STREET, MOOREFIELD, WV 26836
(304) 530-2348
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9738
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152854000
—
WV
Enumeration date
03/13/2008
Last updated
03/13/2008
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