Individual
MIYUKI N. EGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
333 LAIDLEY ST FL 4E, CHARLESTON, WV 25301-1614
(304) 766-4560
(304) 766-4599
Mailing address
4605 MACCORKLE AVE SW OFC, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1228
WV
Other
Enumeration date
01/23/2020
Last updated
01/05/2021
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