123GROW

HUNTINGTON, WV
NPI1043580715
Entity TypeOrganization
Authorized ContactSUSAN PAY
Speech Pathologist
304-412-4246
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WV  SLP-0802)
Enumeration Date2012-01-11
Last Update Date2012-01-11
Business Address
123GROW
624 SOUTH TER
HUNTINGTON, WV 25705-1511
Phone number: 304-412-4246
Mailing Address
123GROW
624 SOUTH TER
HUNTINGTON, WV 25705-1511
Phone number: 304-412-4246