Individual
LEAH NICOLE MUCCIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
6 EDWIN ST, MORGANTOWN, WV 26501-8505
(304) 292-0173
Mailing address
405 KING ST, PERRYOPOLIS, PA 15473-9327
(724) 880-9203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2068
WV
Other
Enumeration date
05/16/2019
Last updated
04/28/2020
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