Individual
LAURA SUE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9887
Mailing address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0070
WV
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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