Individual
KANDI SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 KELLY RD, MORGANTOWN, WV 26508-3552
(304) 709-4255
Mailing address
PO BOX 1243, DELLSLOW, WV 26531-1243
(304) 709-4255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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