Individual
SALLIE LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 1/2 N WICKHAM AVE, PRINCETON, WV 24740-3420
(304) 888-7891
Mailing address
307 1/2 N WICKHAM AVE, PRINCETON, WV 24740-3420
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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