TARA FAWN RAY

SOUTH CHARLESTON, WV
NPI1033152418
Former NameTARA FAWN ALFORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WV  2117)
Enumeration Date2006-06-14
Last Update Date2012-05-17
Business Address
Dr. TARA FAWN RAY DO
400 DIVISION ST SUITE 3
SOUTH CHARLESTON, WV 25309-1459
Phone number: 304-767-7960
Mailing Address
Dr. TARA FAWN RAY DO
PO BOX 9189
SOUTH CHARLESTON, WV 25309-0189
Phone number: 304-767-7960
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