Individual
AMBER NICOLE LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 294-5353
(304) 294-8627
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 294-5353
(304) 294-8627
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
07/02/2026
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