Individual
DEBORAH TIPPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 SAINT CHARLES PL, CHARLESTON, WV 25314-2390
(304) 561-7502
Mailing address
12 SAINT CHARLES PL, CHARLESTON, WV 25314-2390
(304) 561-7502
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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