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Individual

BRANDY LACKIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
58 OAK DRIVE CIR, WHEELING, WV 26003-4852
(304) 830-0024
Mailing address
58 OAK DRIVE CIR, WHEELING, WV 26003-4852

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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