Individual
KATHY DIANE MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 4TH STREET, NEW HAVEN, WV 25261
(304) 812-7603
Mailing address
903 4TH ST, LETART, WV 25253-9674
(304) 812-7603
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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