Individual
MICHELLE HADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 CHURCH STREET, CLAY, WV 25043
(304) 587-4266
(304) 587-4181
Mailing address
501 22ND ST, DUNBAR, WV 25064-1711
(304) 766-7655
(304) 755-2824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8530
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810009957
—
WV
Enumeration date
02/05/2008
Last updated
02/05/2008
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