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1396583753
DARLENE M SHORT
BRIDGEPORT, WV
NPI
1396583753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
DARLENE M SHORT
PO BOX 220
BRIDGEPORT, WV 26330-0220
Phone number: 304-933-3073
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Mailing Address
DARLENE M SHORT
PO BOX 220
BRIDGEPORT, WV 26330-0220
Phone number: 304-933-3073
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