STACI JOHNSON

LOGAN, WV
NPI1306394010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: WV  u8n131600211)
Enumeration Date2016-09-12
Last Update Date2016-09-12
Business Address
-- STACI JOHNSON Ed.S., NCSP
66 SCHOOL ST MONAVILLE
LOGAN, WV 25601-9605
Phone number: 304-792-2089
Mailing Address
-- STACI JOHNSON Ed.S., NCSP
PO BOX 348
HOLDEN, WV 25625-0348
Phone number: