Individual
ANGELA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 CHURCH ST, CLAY, WV 25043-9413
(304) 587-4266
Mailing address
501 22ND ST, DUNBAR, WV 25064-1711
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
9986
WV
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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