Individual
MARTINA NGURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1599 2ND AVE, CHARLESTON, WV 25387-2514
(304) 344-0586
Mailing address
PO BOX 20112, CHARLESTON, WV 25362-1112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014150
VA
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/10/2021
Last updated
05/15/2025
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