Individual
AUTUMN STICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 STATE ROUTE 3 AND 12, HINTON, WV 25951-5190
(304) 640-7083
Mailing address
736 STATE ROUTE 3 AND 12, HINTON, WV 25951-5190
(304) 640-7083
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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