Individual
BETH FULTZ-GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 E HIGH AVE, TERRA ALTA, WV 26764-1033
(301) 501-1270
Mailing address
211 E HIGH AVE, TERRA ALTA, WV 26764-1033
(301) 501-1270
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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