DALTON LAKE CLINE

PARKERSBURG, WV
NPI1922842558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-06-19
Last Update Date2024-06-19
Business Address
DALTON LAKE CLINE
425 JULIANA ST
PARKERSBURG, WV 26101-5352
Phone number: 304-893-9777
Mailing Address
DALTON LAKE CLINE
425 JULIANA ST
PARKERSBURG, WV 26101-5352
Phone number: 304-893-9777
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