Individual
NICHOLE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CINDERELLA RD, WILLIAMSON, WV 25661-1199
(304) 235-3333
Mailing address
110 CINDERELLA RD, WILLIAMSON, WV 25661-1199
(304) 235-3333
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
R7A130500116
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215106265
—
WV
Enumeration date
09/27/2022
Last updated
09/27/2022
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