Individual
CHRISTINE JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 HUDGINS ST, LOGAN, WV 25601-3535
(304) 784-3835
Mailing address
PO BOX 177, SARAH ANN, WV 25644-0177
(304) 784-3835
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2600
WV
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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