Individual
MERENA K CLINE-ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SCHOOL ST. BLDG B, ELLENBORO, WV 26346
(681) 528-9127
Mailing address
PO BOX 93, ELLENBORO, WV 26346-0093
(681) 528-9127
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2467-2074
WV
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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