Individual
TAYLOR RABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 AVENUE B, MADISON, WV 25130-1162
(304) 369-3131
Mailing address
200 ELIZABETH ST, CHARLESTON, WV 25311-2119
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
A5T145700155
WV
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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