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Individual

MR. MAXX WELL BIDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, NCC

Contact information

Practice address
165 SCOTT AVE, MORGANTOWN, WV 26508-8839
(304) 292-1716
Mailing address
165 SCOTT AVE, MORGANTOWN, WV 26508-8839

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/21/2018
Last updated
03/21/2018
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