Individual
MS. KATRINA FAYE STAPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 ASSOCIATION DR, CHARLESTON, WV 25311-1270
(304) 347-4372
Mailing address
202 PENNY LN, ELKVIEW, WV 25071-9393
(304) 634-3176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0943
WV
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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