Individual
MRS. MARCIE MARIE EAKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
410 WATER ST, STONEWOOD, WV 26301-4649
(304) 629-8484
Mailing address
34 MEADOW LN, LOST CREEK, WV 26385-9645
(304) 629-8484
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
20082382
WV
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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