Individual
CORTNEY FICKIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 HADDOX HILL RD, SAINT MARYS, WV 26170-1272
(304) 679-4389
Mailing address
167 HADDOX HILL RD, SAINT MARYS, WV 26170-1272
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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