Individual
MADISON LEIGH CHADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MAPLEWOOD ESTS, SCOTT DEPOT, WV 25560-9747
(304) 972-6686
Mailing address
103 MAPLEWOOD ESTS, SCOTT DEPOT, WV 25560-9747
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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