Individual
PEGGY ANN DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 WITHERSPOON ST, BECKLEY, WV 25801-3265
(304) 573-3104
Mailing address
301 WITHERSPOON ST, BECKLEY, WV 25801-3265
(304) 573-3104
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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