Individual
KATIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 NORTHRIDGE DR STE 118, BUCKHANNON, WV 26201-8484
(304) 473-2255
Mailing address
1615 HICKORY FLAT ROAD, BUCKHANNON, WV 26201
(304) 516-5455
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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