Individual
MRS. MICHELLE NICOLE GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2157 GREENBRIER ST, CHARLESTON, WV 25311-9623
(304) 344-5924
Mailing address
2233 OVAPA RD, OVAPA, WV 25164-7012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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