Individual
AMANDA MARIE NORTHCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 MILLER AVE, WEIRTON, WV 26062-4109
(304) 224-0480
Mailing address
202 MILLER AVE, WEIRTON, WV 26062-4109
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
12/12/2024
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