Individual
OPAL DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 2ND ST STE 201, SUTTON, WV 26601-1303
(304) 765-3668
(304) 471-2488
Mailing address
11152 EXCHANGE RD, EXCHANGE, WV 26619-7540
(304) 651-8567
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
12/09/2020
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