Individual
GUY EVERETT MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 FOUNDRY ST, NEW MARTINSVILLE, WV 26155-1142
(304) 455-2441
(304) 455-3446
Mailing address
333 FOUNDRY ST, NEW MARTINSVILLE, WV 26155-1142
(304) 455-2441
(304) 455-3446
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
8983
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010112
—
WV
Enumeration date
11/30/2007
Last updated
11/30/2007
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