Individual
MRS. MICHELLE LEE WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 BENT TREE ESTS, SCOTT DEPOT, WV 25560-9312
(304) 421-0512
Mailing address
214 BENT TREE ESTS, SCOTT DEPOT, WV 25560-9312
(304) 421-0512
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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