Individual
MS. AIMEE MARIE PRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CRC, QRP
Contact information
Practice address
22 GREENTREE VLG, SHINNSTON, WV 26431-9412
(304) 377-0381
(304) 534-3058
Mailing address
22 GREENTREE VLG, SHINNSTON, WV 26431-9412
(304) 377-0381
(304) 534-3058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
QRP00000111
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-034613
CRC
IL
01
—
QRP00000111
QUALIFIED REHABILITATION
WV
Enumeration date
04/26/2007
Last updated
07/08/2007
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