Individual
KAREN LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 TIMBERLAND TRL, PHILIPPI, WV 26416-7144
(304) 457-4423
Mailing address
306 TIMBERLAND TRL, PHILIPPI, WV 26416-7144
(304) 457-4423
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
032
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032
LICENSE
WV
Enumeration date
08/15/2015
Last updated
08/15/2015
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