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Individual

HAROLD ALLEN SANTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
200 GASTON AVE, FAIRMONT, WV 26554-2739
(304) 624-6554
(304) 624-5223
Mailing address
200 GASTON AVE, FAIRMONT, WV 26554-2739
(304) 624-6554
(304) 624-5223

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0153945000
WV
Enumeration date
03/05/2008
Last updated
03/05/2008
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