Individual
MRS. AMANDA DORIS MADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
177 MIDDLETOWN RD STE 4, FAIRMONT, WV 26554-8254
(304) 367-9191
Mailing address
14 BAKERS LNDG, MORGANTOWN, WV 26505-2792
(703) 579-7925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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