Individual
SHEILA ZICKEFOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA SPED, IMH-E
Contact information
Practice address
205 RANDOLPH ST, BUCKHANNON, WV 26201-2309
(304) 613-8630
Mailing address
205 RANDOLPH ST, BUCKHANNON, WV 26201-2309
(304) 613-8630
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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