Individual
AMANDA KLODZINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 LOCUST AVE APT 3, FAIRMONT, WV 26554-0098
(360) 619-8760
Mailing address
1013 LOCUST AVE APT 3, FAIRMONT, WV 26554-0098
(360) 619-8760
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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