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1972655892
DEIRDRE SELENE PRINCE
PARKERSBURG, WV
NPI
1972655892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WV credential 99-306)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Ms. DEIRDRE SELENE PRINCE M.A. C.C.A.C
1011 MISSION DR
PARKERSBURG, WV 26101-5561
Phone number: 304-485-1781
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Mailing Address
Ms. DEIRDRE SELENE PRINCE M.A. C.C.A.C
1011 MISSION DR
PARKERSBURG, WV 26101-5561
Phone number: 304-485-1781
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