Individual
AMBER NICOLE BUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 DUFF AVE, CLARKSBURG, WV 26301-4021
(304) 669-0256
Mailing address
601 DUFF AVE, CLARKSBURG, WV 26301-4021
(304) 669-0256
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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