Individual
BROOKE BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 LAKESIDE VLG, MORGANTOWN, WV 26508-5613
(304) 290-9623
Mailing address
1803 LAKESIDE VLG, MORGANTOWN, WV 26508-5613
(304) 290-9623
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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