Provider First Line Business Practice Location Address:
247 HARRISON AVENUE
Provider Second Line Business Practice Location Address:
MORGAN COUNTY BOARD OF EDUCATION
Provider Business Practice Location Address City Name:
BERKELEY SPGS
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-258-2430
Provider Business Practice Location Address Fax Number:
304-258-4600
Provider Enumeration Date:
01/15/2008