Individual
MARIAN GAY LAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 PROSPERITY LN STE 277, LOGAN, WV 25601-3743
(304) 928-1972
Mailing address
36 SPENCE ST, DELBARTON, WV 25670-7275
(304) 928-1972
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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