Individual
STEPHANIE COOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 SEAMON HILL, CAMDEN ON GAULEY, WV 26208
(304) 619-6543
Mailing address
6 ERBACON RD APT 411, COWEN, WV 26206-9426
(304) 619-6543
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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