Individual
MELYSSA DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 E PARK VLG, FAIRMONT, WV 26554-9148
(304) 365-0525
Mailing address
48 E PARK VLG, FAIRMONT, WV 26554-9148
(304) 365-0525
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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