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1720096407
TERESA DIVITA CANTERBURY
CHARLESTON, WV
NPI
1720096407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: WV SLP-0756)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
TERESA DIVITA CANTERBURY MS. CCC-SLP
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101
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Mailing Address
TERESA DIVITA CANTERBURY MS. CCC-SLP
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101
Copy
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