Individual
ANDREA MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 58TH ST, VIENNA, WV 26105-2027
(304) 485-6513
Mailing address
2507 9TH AVE, PARKERSBURG, WV 26101-5855
(304) 485-6513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0749
WV
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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