Individual
AZALEE PERRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
65 PROFESSIONAL PL, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Mailing address
65 PROFESSIONAL PL, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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