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Individual

STEPHANIE HASENMYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1085 VAN VOORHIS RD, SUITE 200, MORGANTOWN, WV 26505-3497
(304) 599-9250
(304) 599-9254
Mailing address
591 JONES AVE, MORGANTOWN, WV 26505-4721
(304) 296-9536

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0852
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7402293000
WV
Enumeration date
11/21/2006
Last updated
07/08/2007
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