Individual
CHASITY DESIREE GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
33 SIAMESE LN, LIBERTY, WV 25124-7245
(304) 610-7359
Mailing address
33 SIAMESE LN, LIBERTY, WV 25124-7245
(304) 610-7359
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
WV
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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