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1790890689
RICHARD HOWARD SOUTHALL
CLARKSBURG, WV
NPI
1790890689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WV 1796)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- RICHARD HOWARD SOUTHALL LPC
6 HOSPITAL PLZ
CLARKSBURG, WV 26301-9316
Phone number: 304-623-5661
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Mailing Address
-- RICHARD HOWARD SOUTHALL LPC
6 HOSPITAL PLZ
CLARKSBURG, WV 26301-9316
Phone number: 304-622-3721
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