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Individual

DR. CAMERON SUSAN FORFAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
RR 4 BOX 474, SALEM, WV 26426-8909
(304) 623-3461
Mailing address
RR 4 BOX 474, SALEM, WV 26426
(304) 623-3461

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
588
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
588
CLINICAL PSYCHOLOGIST LIC
WV
Enumeration date
04/03/2006
Last updated
07/08/2007
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