Individual
LAURA J MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3388 MCADOO RIDGE RD, WELLSBURG, WV 26070-2876
(304) 670-5078
Mailing address
3388 MCADOO RIDGE RD, WELLSBURG, WV 26070-2876
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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