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1902123466
DESIREE REBECCA POLING
MORGANTOWN, WV
NPI
1902123466
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Former Name
DESIREE REBECCA PHILLIPS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WV P/SLP-0467)
Enumeration Date
2010-04-23
Last Update Date
2019-12-18
Business Address
Mrs. DESIREE REBECCA POLING SLP
1052 MAPLE DR
MORGANTOWN, WV 26505-2815
Phone number: 304-599-2600
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Mailing Address
Mrs. DESIREE REBECCA POLING SLP
RR 1 BOX 205A2
LOST CREEK, WV 26385-9722
Phone number: 304-365-2327
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