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Contact Information

MARY K DEBENI
RR 1 BOX 256 A
TRIADELPHIA, WV26059-9725
 Phone: 304-547-9197
 Fax: 304-547-9198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MARY K DEBENI · (Female)

NPI # 1962622985
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WV License # TL7410703R
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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