Individual
MRS. ASHLEY NICHOLE MALOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 SCOTT AVE, MORGANTOWN, WV 26508-8804
(304) 299-1731
Mailing address
28 LITTLE SYCAMORE SQ, FAIRMONT, WV 26554-5715
(304) 290-9614
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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