Individual
CARA GUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9887
Mailing address
340 KENMORE ST, MORGANTOWN, WV 26505-3218
(304) 319-1145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0758
WV
Other
Enumeration date
03/19/2007
Last updated
04/08/2019
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