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Individual

CHRISTOPHER MICHAEL INQUANTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
401 SOUTH QUEEEN STREET, BERKELEY COUNTY BOARD OF EDUCATION, MARTINSBURG, WV 25401
(304) 267-3500
Mailing address
216 NATHANIEL DRIVE, MARTINSBURG, WV 25403
(304) 671-0246

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7588
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0166353000
WV
Enumeration date
04/09/2008
Last updated
04/09/2008
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