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Individual

MR. DENNIS LANE SHOWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SLP, C.C.C.

Contact information

Practice address
401 S QUEEN ST, MARTINSBURG, WV 25401-3233
(304) 267-3500
Mailing address
109 S COLLEGE ST, MARTINSBURG, WV 25401-3307
(304) 267-3595
(394) 267-3599

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023
WV
Enumeration date
10/12/2007
Last updated
10/12/2007
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