Individual
NICOLE FUELLHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 942, WINFIELD, WV 25213-0942
(304) 542-9171
Mailing address
PO BOX 942, WINFIELD, WV 25213-0942
(304) 542-9171
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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