Individual
AMANDA DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 GRANITE LN, FAIRDALE, WV 25839-1141
(304) 673-9214
Mailing address
PO BOX 121, FAIRDALE, WV 25839-0121
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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