Individual
CHANNING DESIREE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 2 BOX 310, WILLIAMSON, WV 25661-9679
(304) 235-3333
Mailing address
RR 2 BOX 310, WILLIAMSON, WV 25661-9679
(304) 235-3333
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
L3A138600230
WV
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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