KEVIN PEGRAM

BEAVER, WV
NPI1851081962
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-05-11
Last Update Date2023-05-11
Business Address
KEVIN PEGRAM
175 PHILPOTT LN
BEAVER, WV 25813-9501
Phone number: 304-254-9262
Mailing Address
KEVIN PEGRAM
175 PHILPOTT LN
BEAVER, WV 25813-9501
Phone number: 304-254-9262
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