Individual
MRS. LORI REZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF/SLP
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 542-3544
(304) 727-3701
Mailing address
PO BOX 820, HURRICANE, WV 25526-0820
(304) 345-6313
(304) 763-7954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P/SLP-0471
WV
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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