Individual
MARIA LOUDERMILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 COMMERCE AVE, HUNTINGTON, WV 25701-1611
(304) 416-5478
Mailing address
1402 COMMERCE AVE, HUNTINGTON, WV 25701-1611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16312
—
Other
Enumeration date
08/04/2014
Last updated
01/09/2017
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