Individual
CHRYSTAL LYNN MCCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
101 2ND ST STE 201, SUTTON, WV 26601-1303
(304) 765-3668
(304) 471-2488
Mailing address
287 CHAPEL RD, GASSAWAY, WV 26624-7013
(304) 644-6172
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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