Individual
SABRINA FARNSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DS
Contact information
Practice address
20613 MIDLAND TRL, ANSTED, WV 25812-8638
(304) 640-4207
Mailing address
20613 MIDLAND TRL, ANSTED, WV 25812-8638
(304) 640-4207
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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