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1669190815
TEISHA MARIE PRIM
MORGANTOWN, WV
NPI
1669190815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 21-9105)
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
TEISHA MARIE PRIM PRSS
206 SPRUCE ST
MORGANTOWN, WV 26505-7539
Phone number: 304-413-4300
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Mailing Address
TEISHA MARIE PRIM PRSS
206 SPRUCE ST
MORGANTOWN, WV 26505-7539
Phone number: 304-413-4300
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