Individual
MRS. KARRIE MICHELLE MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., ED.S
Contact information
Practice address
242 CHURCH STREET, CLAY, WV 25043-0120
(304) 587-2713
(304) 587-4181
Mailing address
PO BOX 120, CLAY, WV 25043-0120
(304) 587-2713
(304) 587-4181
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001065
—
WV
Enumeration date
11/17/2006
Last updated
07/08/2007
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