Individual
MADONNA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 S CRIM AVE, BELINGTON, WV 26250-8345
(304) 823-0223
(304) 823-3600
Mailing address
PO BOX 92, BELINGTON, WV 26250-0092
(130) 461-4947
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/06/2021
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