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Individual

LAURA R WILHELM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
501 MORRIS STREET, CHARLESTON, WV 25301
(304) 341-1500
(304) 341-1570
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 347-1290
(304) 347-1397

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
805
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9204041000
WV
Enumeration date
09/20/2006
Last updated
10/14/2008
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