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1194151803
LARA M WOODRUM
CHARLESTON, WV
NPI
1194151803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WV U6A136300075)
Enumeration Date
2013-09-26
Last Update Date
2013-09-26
Business Address
-- LARA M WOODRUM
200 ELIZABETH ST
CHARLESTON, WV 25311-2119
Phone number: 304-348-7740
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Mailing Address
-- LARA M WOODRUM
501 22ND ST
DUNBAR, WV 25064-1711
Phone number:
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