Individual
AMBER FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2188 DUDDING LN, CULLODEN, WV 25510-9556
(740) 523-0777
Mailing address
2188 DUDDING LN, CULLODEN, WV 25510-9556
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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