Individual
MILDRED MCCLASKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 PENNSYLVANIA AVE, BRIDGEPORT, WV 26330-1236
(304) 871-1275
Mailing address
12574 WV ROUTE 23 N, WEST UNION, WV 26456-8611
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/06/2021
Last updated
02/06/2021
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