SHANE PATRICK LIGHTLE

MILTON, WV
NPI1346861697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-04-28
Last Update Date2020-04-28
Business Address
SHANE PATRICK LIGHTLE
1249 MEADOW LN
MILTON, WV 25541-8577
Phone number: 304-840-8686
Mailing Address
SHANE PATRICK LIGHTLE
1596 WASHINTON BLVD
HUNTINGTON, WV 25701
Phone number: