Individual
KIERAN JONATHAN DAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1459
(301) 873-0098
Mailing address
159 HEMLOCK LANE, REEDSVILLE, WV 26547
(304) 904-1532
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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