Individual
DONNETTA SUE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1066 LITTLE LYNN CREEK ROAD, WAYNE, WV 25570
(304) 429-0070
(304) 429-0028
Mailing address
PO BOX 552, WAYNE, WV 25570-0552
(304) 633-5820
(304) 429-0027
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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