Individual
BRANDY PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 WILKIE DR, CHARLESTON, WV 25314-1722
(681) 385-8340
Mailing address
1019 WILKIE DR, CHARLESTON, WV 25314-1722
(681) 385-8340
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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