Individual
WENDY MEDVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 PENNSYLVANIA AVE STE C, CHARLESTON, WV 25302-4835
(304) 965-9081
(304) 471-2488
Mailing address
7680 WINFIELD RD, WINFIELD, WV 25213-7052
(304) 552-1594
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
12/09/2020
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