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1669675302
CAROLYN H SUPPA
CHARLESTON, WV
NPI
1669675302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: WV 643)
Enumeration Date
2007-06-08
Last Update Date
2007-07-08
Business Address
Dr. CAROLYN H SUPPA Ed.D.
1108 SWAN RD
CHARLESTON, WV 25314-1426
Phone number: 304-345-3685
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Mailing Address
Dr. CAROLYN H SUPPA Ed.D.
1108 SWAN RD
CHARLESTON, WV 25314-1426
Phone number: 304-345-3685
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