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Individual

NICK GEORGE VINDIVICH III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
800 EMMETT ROUSCH DR, MARTINSBURG, WV 25401-6313
(304) 262-9831
Mailing address
55 MERIDIAN PKWY STE 103, MARTINSBURG, WV 25404-5422

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/23/2019
Last updated
08/23/2019
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