Individual
AUDRA KNOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 E MAIN ST, CLARKSBURG, WV 26301-2160
(304) 933-3073
Mailing address
PO BOX 220, BRIDGEPORT, WV 26330-0220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2535
WV
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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