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Individual

SHANECE EDEN LYNN FORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1000 MON HEALTH MEDICAL PARK DR STE 1202, MORGANTOWN, WV 26505-1143
(304) 599-1975
(304) 599-2705
Mailing address
1000 MON HEALTH MEDICAL PARK DR STE 1202, MORGANTOWN, WV 26505-1143
(304) 599-1975
(304) 599-2705

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3006
WV

Other

Enumeration date
11/22/2022
Last updated
11/15/2024
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