Individual
MARCEDES ANN MINANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 HIGH ST STE 223, MORGANTOWN, WV 26505-5446
(814) 341-9000
Mailing address
49 SENNETT ST, MORGANTOWN, WV 26501-6642
(814) 341-9000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00945045
WV
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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