Individual
SALLY F. SOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
1207 QUARRIER ST, STE 303, CHARLESTON, WV 25301-1826
(304) 720-2317
Mailing address
1207 QUARRIER ST, STE 303, CHARLESTON, WV 25301-1826
(304) 720-2317
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
651
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164632000
—
WV
Enumeration date
09/20/2006
Last updated
07/08/2007
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