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1154145423
MIRIAM BEALL
SALEM, WV
NPI
1154145423
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Former Name
MIRIAM SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: WV 478332)
Enumeration Date
2024-11-13
Last Update Date
2024-11-13
Business Address
MIRIAM BEALL
3136 DOUBLE CAMP RD
SALEM, WV 26426-5128
Phone number: 304-991-3120
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Mailing Address
MIRIAM BEALL
3136 DOUBLE CAMP RD
SALEM, WV 26426-5128
Phone number: 304-991-3120
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