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1811521859
MELONIE DIANE BEAVERS
CHARLESTON, WV
NPI
1811521859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WV 2479)
Enumeration Date
2020-02-28
Last Update Date
2020-11-05
Business Address
MELONIE DIANE BEAVERS
5240 MACCORKLE AVE SE
CHARLESTON, WV 25304-2122
Phone number: 304-926-2300
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Mailing Address
MELONIE DIANE BEAVERS
PO BOX 116
JOLO, WV 24850-0116
Phone number: 304-890-3005
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