Individual
KELLY ANN SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 HANWORTH LN, DANIELS, WV 25832-9029
(304) 345-6313
Mailing address
104 ELIZABETH HTS, HURRICANE, WV 25526-9477
(304) 543-6840
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0520
WV
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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