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Individual

JENNIFER RAE MEADOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
409 MASSEY ST, BECKLEY, WV 25801-5705
(681) 207-2733
Mailing address
713 S OAKWOOD AVE, BECKLEY, WV 25801-5968
(304) 254-8420
(304) 254-8422

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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