Individual
REGINA KAYE PANCAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 S MINERAL ST, KEYSER, WV 26726-2860
(304) 788-5467
(304) 788-6363
Mailing address
136 N BURGESS HOLLOW RD, ELK GARDEN, WV 26717-9657
(304) 788-5467
(304) 788-6363
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP942415
WV
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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