Provider Information for 1881304368
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LAURA ROZALEE VIARS LPC
Sex: Female
NPI: 1881304368
Last Updated: 2022-11-25
Certification Date: 2022-11-25
Certification Date: 2022-11-25
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1881304368 | ||||||||
| Enumeration Date | 2022-11-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 86 27TH ST HUNTINGTON, WV 25702-1147 United States Phone: 304-617-9258 | Fax: | ||||||||
| Primary Practice Address | 1 JOHN MARSHALL DR # 318E HUNTINGTON, WV 25755-0002 United States Phone: 304-696-3915 | Fax: | ||||||||
| Secondary Practice Address(es) | 86 27TH ST | ||||||||
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