Provider Information for 1992348213
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TERRI L RAWSON LPC
Sex: Female
NPI: 1992348213
Last Updated: 2024-10-31
Certification Date: 2024-10-31
Certification Date: 2024-10-31
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992348213 | ||||||||
| Enumeration Date | 2019-10-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 31 E CAMPUS DRIVE WELLNESS CENTER BETHANY, WV 26032 United States Phone: 304-829-7572 | Fax: | ||||||||
| Primary Practice Address | 1000 COMMERCE DR STE 1008 MOON TOWNSHIP, PA 15108-4739 United States Phone: 304-829-7572 | Fax: | ||||||||
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