Individual
MISS NICOLE RENEE VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS EDS
Contact information
Practice address
13 S HIGH ST, MORGANTOWN, WV 26501-7546
(304) 624-6554
(304) 624-5223
Mailing address
1201 N 15TH ST, CLARKSBURG, WV 26301-1989
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
WV
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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