Individual
MIRANDA LEA CRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
201 N COURT ST, GLENVILLE, WV 26351-1273
(304) 624-6554
(304) 624-5223
Mailing address
201 N COURT ST, GLENVILLE, WV 26351-1273
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1212
WV
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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