Individual
KENDRA AVONA DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DS/RN, BSN,MA
Contact information
Practice address
PO BOX 256, ARNETT, WV 25007-0256
(304) 573-7574
Mailing address
PO BOX 256, ARNETT, WV 25007-0256
(304) 573-7574
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
WV
Other
Enumeration date
12/03/2024
Last updated
12/31/2024
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