Individual
MARIAH MARTIN ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 6TH ST N, WAHPETON, ND 58076-0001
(701) 630-0072
Mailing address
1201 3RD AVE N APT 301, WAHPETON, ND 58075-4141
(704) 978-9831
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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