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Individual

DEBORAH LOUISE WOOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
301 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9552
(304) 757-6999
(304) 201-5019
Mailing address
301 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9552
(304) 757-6999
(304) 201-5019

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
72000127A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200870260
IN
05
3810026505
WV
Enumeration date
07/30/2007
Last updated
03/17/2014
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