Individual
SHARON WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
1303 WASHINGTON ST W, CHARLESTON, WV 25302-1333
(304) 553-0010
Mailing address
1029 RED OAK ST, CHARLESTON, WV 25302-2542
(304) 741-2027
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-9155
WV
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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