Individual
SANDRA CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3351
(304) 388-2545
Mailing address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3351
(304) 388-2545
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
19-903
WV
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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