Individual
ALEXIS SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
605 TWIN KNOBS, MORGANTOWN, WV 26508-2742
(681) 285-4307
Mailing address
301 SCOTT AVE, MORGANTOWN, WV 26508-8804
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-944SUD
WV
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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