KRISTINA M SUPTIC

BECKLEY, WV
NPI1245728583
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WV  AP00940862)
Enumeration Date2018-04-23
Last Update Date2018-04-23
Business Address
KRISTINA M SUPTIC
330 N EISENHOWER DR
BECKLEY, WV 25801-4141
Phone number: 304-929-0786
Mailing Address
KRISTINA M SUPTIC
330 N EISENHOWER DR
BECKLEY, WV 25801-4141
Phone number: 304-929-0786
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