Individual
KIMBERLY NICOLE MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
859 ALDERSON ST FL 3, WILLIAMSON, WV 25661-3215
(866) 860-9772
Mailing address
108 WILLIAM LUCAS DRIVE, BIG CREEK, WV 25505
(304) 928-5664
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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