Individual
KATHLEEN LICHWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
569 MATTHEW LN, TRIADELPHIA, WV 26059-1283
(304) 547-0012
Mailing address
569 MATTHEW LN, TRIADELPHIA, WV 26059-1283
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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