SHANECE EDEN LYNN FORGE

MORGANTOWN, WV
NPI1609585249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WV  774)
Enumeration Date2022-11-22
Last Update Date2023-07-10
Business Address
SHANECE EDEN LYNN FORGE MS
1000 MON HEALTH MEDICAL PARK DR STE 1202
MORGANTOWN, WV 26505-1143
Phone number: 304-599-1975
Mailing Address
SHANECE EDEN LYNN FORGE MS
1000 MON HEALTH MEDICAL PARK DR STE 1202
MORGANTOWN, WV 26505-1143
Phone number: 304-599-1975