Individual
MADISON RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 MADISON AVE, SPENCER, WV 25276-1900
(304) 927-0015
(304) 927-0017
Mailing address
811 MADISON AVE, SPENCER, WV 25276-1900
(304) 927-0015
(304) 927-0017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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