Individual
LEAH GABRIELLE HETHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2457 KINGMONT RD, FAIRMONT, WV 26554-8213
(304) 677-0804
Mailing address
2457 KINGMONT RD, FAIRMONT, WV 26554-8213
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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