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Individual

MR. MICHAEL CALES SHERIDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
HC 37, BOX 122BC, FRANKFORD, WV 24938
(304) 497-2905
Mailing address
PO BOX 204, MAXWELTON, WV 24957-0204
(304) 497-2905

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
298
WV
103TS0200X
School Psychologist
22013
WV

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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