Individual
LAUREN B. WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 NEVILLE ST, MEDICAID SPECIALIST, BECKLEY, WV 25801-4511
(304) 256-4712
Mailing address
400 NEVILLE ST, MEDICAID SPECIALIST, BECKLEY, WV 25801-4511
(304) 256-4712
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
5651
WV
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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