Individual
MADELINE JEAN PETTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1015 OAKHURST DR, CHARLESTON, WV 25314-2049
(304) 345-8101
Mailing address
20 NANCY ST, SETH, WV 25181-9580
(304) 553-2734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1054
WV
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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