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1134845373
RAVENLOU WAMSLEY
LOGAN, WV
NPI
1134845373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 22-9154)
Enumeration Date
2022-10-19
Last Update Date
2022-10-19
Business Address
RAVENLOU WAMSLEY
174 LMAH CENTER RD
LOGAN, WV 25601-4058
Phone number: 304-792-7130
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Mailing Address
RAVENLOU WAMSLEY
PO BOX 176
LOGAN, WV 25601-0176
Phone number: 304-792-7130
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