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1235677725
EUGENIE PROVOSTY TAYLOR
CHARLESTON, WV
NPI
1235677725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WV DP00939976)
Enumeration Date
2017-02-06
Last Update Date
2017-02-06
Business Address
Ms. EUGENIE PROVOSTY TAYLOR LICSW
16 LEON SULLIVAN WAY SUITE 300
CHARLESTON, WV 25301-2402
Phone number: 304-346-9689
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Mailing Address
Ms. EUGENIE PROVOSTY TAYLOR LICSW
16 LEON SULLIVAN WAY
CHARLESTON, WV 25301-2402
Phone number: 304-346-9689
Copy
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