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1154047066
SHARLA R SMITH
LOGAN, WV
NPI
1154047066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 22-9102)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
SHARLA R SMITH PRSS
174 LMAH CENTER RD
LOGAN, WV 25601-4058
Phone number: 304-792-7130
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Mailing Address
SHARLA R SMITH PRSS
PO BOX 176
LOGAN, WV 25601-0176
Phone number: 304-792-7130
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