Individual
MADALYN PEPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
256 BENTON RD, SUMMERSVILLE, WV 26651-9379
(304) 880-3203
Mailing address
256 BENTON RD, SUMMERSVILLE, WV 26651-9379
(304) 880-3203
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
WV
Other
Enumeration date
10/31/2024
Last updated
11/04/2024
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