Individual
MISS AMBER GUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
202 S RANDOLPH AVE, ELKINS, WV 26241-3739
(304) 637-1002
Mailing address
109 WILTON AVE, ELKINS, WV 26241-3260
(304) 614-6740
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1126
WV
Other
Enumeration date
11/13/2016
Last updated
11/13/2016
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