Individual
BETH STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
321 W MAIN ST STE 400, CLARKSBURG, WV 26301-0102
(304) 622-5323
(304) 622-5324
Mailing address
321 W MAIN ST STE 400, CLARKSBURG, WV 26301-0102
(304) 622-5323
(304) 622-5324
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1090
WV
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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