Individual
CARYN TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
734 FLAT TOP RD, SHADY SPRING, WV 25918-8619
(304) 575-8755
Mailing address
734 FLAT TOP RD, SHADY SPRING, WV 25918-8619
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
WV
Other
Enumeration date
10/30/2025
Last updated
01/29/2026
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