Individual
SAMANTHA J MODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 STANDING STONE RD, ALDERSON, WV 24910-1277
(304) 573-0602
Mailing address
PO BOX 369, RIPLEY, WV 25271-0369
(304) 786-7418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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