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Individual

STEPHANIE RACHELLE WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3377 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 399-3310
(304) 523-5416
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 781-5159
(304) 523-8115

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2287
WV

Other

Enumeration date
06/08/2017
Last updated
09/01/2021
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