Individual
PAIGE MUNCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 CHESTNUT ST, KENOVA, WV 25530-1235
(304) 453-2800
Mailing address
1401 CHESTNUT ST, KENOVA, WV 25530-1235
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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