Individual
MALLORIE KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCP
Contact information
Practice address
3920 WASHINGTON ST, WEIRTON, WV 26062-5343
(304) 748-3768
Mailing address
3904 CLAREMONT PL, WEIRTON, WV 26062-4314
(412) 445-6870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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