Individual
BEVERLY JOVON SADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ICPR
Contact information
Practice address
408 TENNESSEE AVE, CHARLESTON, WV 25302-2338
(304) 541-7243
Mailing address
1622 VIRGINIA ST E APT A, CHARLESTON, WV 25311-2143
(304) 541-7243
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
21-936
WV
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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